Los Angeles Pain Doctor

Avosant


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Diagnosis Model
Pain Diagnosis Model

Appointments

Call our offices at:
(310) 274-3481
(800) 964-0404

Beverly Hills
9301 Wilshire Boulevard
Suite 406A
Beverly Hills, California 90210



Insurance
 
INSURANCE & WORKERS' COMPENSATION ACCEPTED!
We accept most types of insurance providers and specialize in the treatment of workers' compensation injuries to the hand and upper extremity.





Insurance Coverage of Pain Management Procedures


Most medical insurance groups, such as United Healthcare and Anthem Blue Cross and Blue Shield, cover problems associated with pain and pain management. Procedures such as nerve blocks, epidurals, and physical therapy are most often covered and with the help of our Insurance Specialists, we will be able to help determine your benefits and coverage.

What Does Medical Insurance Cover?
How Do You Begin the Insurance Process?
What If Your Insurance Company Does Not Authorize Payment?
How Can We Help?


What Does Medical Insurance Cover?

Your medical insurance policy is a contract between you and your insurance provider. Coverage for medical services and levels of payment depend on the terms of this contract. In contrast, the actual medical services and fees are an agreement between you and your pain management physician. Therefore, you are responsible for any amounts, including deductibles and co-insurance, not covered by your insurance policy.


How Do You Begin the Insurance Process?

Following your consultation with your pain management physician, our Surgical Patient Coordinator and Insurance Specialists at Avosant Surgical Associates will contact your medical insurance carrier to verify your coverage, explain the nature of you diagnosis and obtain authorization for the treatment and/or surgical procedure. Only functional claims for valid pain management problems and surgery will be submitted. There are several specific actions you can take to help us expedite this process:

1. Please bring appropriate documentation with you including:
  • Current Insurance Card (Name & Phone Number of Insurance Group/Member ID Number)
  • Valid Driver’s License or Picture ID
  • Pre-authorization or Letter of Referral from Primary Treating Physician
2. All patients under the age of 18 must be accompanied by a parent or legal guardian. 3. If the patient is hearing impaired or needs translation in some language other than English, Farsi or Spanish, please notify us in advance so that we ma arrange for an interpreter.

It is important to remember that authorization by your insurance company does not guarantee payment of benefits. We strongly recommend that you also contact your insurance company to obtain information and better understand your coverage. As a courtesy, please make sure you give our staff complete up-to-date insurance information when you arrive for your first consultation and continue to update us of any changes to you insurance coverage. During your visit, we will ask you to sign a Disclosure of Information form, which will allow us to obtain your previous medical records.


What If Your Insurance Company Does Not Authorize Payment?

In some cases, your insurance company may not authorize payment for your pain management treatments and/or surgery. They may also agree to pay a percentage of a claim. Therefore, you may choose to appeal the decision for another chance at coverage.

In appealing the decision, your first step should be to write a letter to your insurance company representative. In the letter, explain why your surgical procedure should be covered and ask that your request be reviewed by a board-certified pain management specialist. You may also want to request full explanation of why coverage is being paid at a reduced level or denied.


How Can We Help?

Because the health insurance process can be complicated and difficult to understand, our experienced Insurance Specialists at Avosant Surgical Associates will work with you to make the process a more positive and easier experience. With you cooperation and help, we will assist you with the preparation of your insurance forms, claims and payment issues in order to efficiently use the time to concentrate on caring for your medical needs.

For more information regarding insurance for pain management treatment and/or surgery, please contact us at our office in Beverly Hills at 310.274.3481. You can contact us via the Internet and fill out the online form provided.

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We serve the following cities within Los Angeles, which are in close proximity to our offices:
Agoura Hills, Brentwood, Canoga Park, Century City, Chatsworth, Culver City, El Segundo, Glendale, Granada Hills, Hollywood, Long Beach, Los Angeles, Marina Del Rey, North Hollywood, Northridge, Palos Verdes, Rancho Park, Reseda, San Pedro, Santa Monica, Sherman Oaks, Studio City, Tarzana, Valencia, Van Nuys, West Hills, West Hollywood, West L.A., Wilmington, Winnetka, Woodland Hills