Patient Center

Billing & Insurance

At Anderson Orthopaedic Clinic, we are committed to providing exceptional, patient-centered care—regardless of your insurance carrier. We believe every patient deserves adequate time, thoughtful communication, and personalized treatment.

 

Insurance Participation

We participate with most local and many national insurance plans, including Medicare. Because each insurance company offers multiple plans and benefit tiers, we strongly recommend reviewing your specific coverage details before scheduling an appointment.

Please note: We do not accept Medicaid.

If you provide complete and accurate insurance information at the time of your visit, our team will be happy to submit claims to your insurance carrier on your behalf. Depending on your individual coverage, you may be responsible for co-payments, co-insurance, or deductible amounts.

 

If Your Plan Is Out of Network

Many patients can still see our physicians even if their insurance plan is considered “Out of Network.” If you have a PPO, POS, or HMO plan that offers out-of-network benefits, you may still have the flexibility to schedule appointments with our providers.

Coverage and reimbursement vary, so we recommend that you confirm your benefits directly with your insurance company.

 

We’re Happy to Help You Confirm Participation

The Anderson Clinic participates with most insurance plans. Our team is dedicated to providing high-quality care while helping you minimize out-of-pocket expenses. Rest assured — we will handle billing and claim submissions on your behalf.

However, insurance coverage can be complex. Each carrier offers several plans with differing deductibles, co-pays, and co-insurance requirements. The most accurate way to verify what your insurance will cover is by calling the Member Services number on the back of your insurance card.

When you call, the representative may ask for the following information:

Tax ID: 540885758
NPI #: 1568488799
Clinic Name: Anderson Orthopaedic Clinic (aka Anderson Clinic)

 

What is My Anticipated Out-of-Pocket Expense?

When speaking with your insurance carrier, the representative should be able to provide your expected:

  • Co-pay

  • Deductible responsibility

  • Co-insurance percentage

  • Any prior authorization requirements for specific services

This information will help you understand your financial responsibility before receiving care.

 

Questions About Your Bill?

Our billing office is here to help. If you have questions about your statement, claim status, or coverage, please contact us at (703) 892-6500.

 

Frequently Asked Questions:

1. What insurance plans do you accept?

We participate with most local and many national insurance plans. Since each carrier offers multiple plan types, we recommend calling the Member Services number on the back of your insurance card to confirm your specific coverage details. We do not accept Medicaid.

2. Can I see a doctor if my plan is out of network?
Yes, if your insurance provides out-of-network benefits. Patients with PPO, POS, or HMO plans that allow out-of-network care may still be able to see our physicians. Coverage varies by plan.

3. Will you submit insurance claims on my behalf?
Yes. If you provide accurate insurance information, we will submit your claim directly to your carrier.

4. How can I find out my co-pay or anticipated out-of-pocket cost?
Your Member Services representative can provide the most accurate estimate, including your deductible, co-pay, and co-insurance responsibilities. 

5. Why did I receive a bill after my visit?
You may receive a bill if your insurance applied your deductible, co-insurance, or if coverage was different from what was expected. Our billing office is happy to help clarify any charges.

6. What if my insurance denies my claim?
We will notify you if a claim is denied. You may contact your insurance carrier for details or to initiate an appeal.

7. What should I bring to my appointment?
Please bring your current insurance card, photo ID, and any additional documentation required by your plan, such as referrals or authorizations.