Convergent Health LLC provides services and tools that make it easier for our clients to understand their costs, pay their bills, learn about coverage options or get financial assistance when needed.

Payment Options

Payments may be made via:

Cash, check or money order
Master Card
Visa
Discover

To pay your bill online by credit card, visit Pay My Bill.

Contact Our Billing Department

For questions about your bill, please call 1-405-303-5000

Hours (Central Time): Monday - Thursday 8 a.m. to 5 p.m., Friday 8 a.m. to 4 p.m.

Our Payment Policies

Before we bill you, we bill your insurance provider, including Medicare and Medicaid, and any secondary insurance providers. We don’t charge interest on any balance due after insurance payments are received. We'll send you a billing statement showing the most current balance due from you.

Co-payments/Down Payments

We ask for a co-payment and/or deductible for services provided prior to services being provided. If your service is not covered by insurance, you’ll be asked to pay the estimated price at that time. You will be billed for any remaining balance.

Insurance Coverage

Your insurance coverage is a contract between you and your insurance company. Your benefits vary depending on your insurance policy. You’ll need to present your insurance card(s) at the time of service. Your card(s) will be copied to ensure the correct information is available. If your visit should be billed to another party, we'll give you a form to complete and return so we may submit your bill correctly.

Convergent Health will bill all your insurance providers, provided you submit all the necessary information. You’re responsible for any portion of your charges that are not paid by your insurance company. That includes non-covered services, co-payments and deductibles. It's your responsibility to be aware of any exclusions, benefits, co-payments and deductibles outlined in your insurance plan. Co-payments and deductibles are due before leaving the facility and can be paid with cash, debit card, personal check or credit card. As a client, familiarize yourself with the terms of your insurance plan.

If your insurance doesn't pay within 60 days, you'll be billed for the full balance. If you feel your insurance company should have paid your bill, contact your insurance company or call our central billing office.

If there’s a question about your insurance coverage, a patient access team member will contact you or a family member prior to your visit or while you are here. This insurance information is needed to process your claims. If we don't know the exact patient liability at the time of service, we may require a deposit. The deposit may vary depending on the services you received.

If You’re Part of an HMO or PPO

Your plan may have special requirements, such as a pre-authorization for certain services. It’s your responsibility to make sure the requirements of your plan have been met. If your plan's requirements are not followed, you may be financially responsible for all or part of the services rendered in the facility.

If You Have Insurance Non-Contracted with Convergent Health

For non-emergency services, your insurance coverage may restrict where you receive care. If you use services outside of your network, you’re responsible for a larger portion of your charges. Convergent Health will make every attempt to ensure your provider and facility is in-network; however, it is ultimately up to you to check with your insurance company to ensure your provider and Convergent Health are in-network.

If You’re Covered by Medicare

Medicare clients must present their current cards at the time of service to verify eligibility and process your Medicare claim. Medicare clients are requested to pay their deductible at the time of service. Deductibles and co-payments are the responsibility of the client.

If You’re Covered by Medicaid or are Eligible for Medicaid

If you have Medicaid, you must be eligible for coverage at the time of service and present a card for the current month. If the Medicaid card shows you have additional insurance, you must also present that insurance card.
To bill Medicaid, we must:

Ask questions to decide whether Medicaid should be listed as the primary or secondary insurance. These questions must be reviewed at registration to ensure our information is accurate.
Our Case Managers can assist you in determining if you might be eligible for Medicaid or other state or federal programs. These programs provide comprehensive coverage including prevention, primary care, hospitalization, prescription and other services for individuals, families and children. You’ll need to complete an application and provide supporting documentation to determine if you qualify.

If Pre-Authorization is Required

If your insurance requires a pre-authorization for service, we’ll attempt to obtain all required clinical information from your provider to collect the authorization from your insurance company. If you have any questions regarding pre-authorization, please let us know. If we're unable to obtain pre-authorization, we may need to cancel or reschedule your service(s).

Past Due Accounts

If your account becomes past due, we’ll take appropriate action to recover the amount due. If there’s a problem with your account, it's your responsibility to contact the office to discuss a workable solution.

Financial Assistance

If you’re not able to pay your entire bill and don’t qualify for Medicaid/Title 19, you may qualify for financial assistance. The amount of assistance you receive depends on:

Household income
Number of dependents
Your assets