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Frequently Asked Questions

How do I make an appointment?
Is Specialists in Gastroenterology accessible by wheelchair?
Is there convenient parking at Specialists in Gastroenterology?
What happens on my first visit?
How do I get a follow up appointment?
How can I find out the results of my tests?
How do I find out more about my condition and treatment?
Can I see my medical record?
How do I reach my doctor in an emergency?
How can I get my prescription refilled?
How do I make a complaint?
Where do I send my payment? 
How do I reach Specialists in Gastroenterology if I have a question on my bill?
What insurance does Specialists in Gastroenterology accept?
Why do I need to show my insurance card at each visit?
Why haven’t I received a bill yet?
Why did it take so long for my insurance to pay?
Why does the bill show a balance forward, instead of claim detail?
What if I can’t pay my bill in full?
What does HMO mean?
What does PPO mean?

How do I make an appointment?

Some insurance plans require that your primary care physician provide them a referral for specialist care. Please check to determine what coverage your plan will provide so necessary documentation can be in place before your appointment. 

Appointments are made by calling the main number at Specialists in Gastroenterology. Scheduling is available Monday through Friday during normal business hours. Phone numbers are available under CONTACT US.

The scheduler will need to know the reason for your appointment, your insurance information, and whether there are special factors to consider, such as the need to schedule an interpreter for the appointment. Every effort is made to accommodate patient need and physician request.

Is Specialists in Gastroenterology accessible by wheelchair?

Yes, the office is accessible by wheel chair and complies with ADA requirements. To find out specifics for a particular facility, please contact the division directly.

Is there convenient parking at Specialists in Gastroenterology?

All facilities for Specialists in Gastroenterology have convenient, off-street, free parking. For more specific information for a particular facility, please contact the division directly.

What happens on my first visit?

Your first visit is a consultation. Ask your primary physician or referral physician to send us any parts of your medical record that is relevant to your visit. These records will provide background and will help avoid redundant testing.

During this visit, our providers will talk with you to understand your medical and family history, with specific emphasis on the present problem bringing you to our office. A complete physical examination is done as well. Follow-up visits are shorter, unless necessitated by the present condition.
Note that most health plans and insurance companies now require a referral from your primary care physician before a consultation or visit. Be sure you have obtained such a referral before your visit.

How do I get a follow up appointment?

The practitioner will document in your progress notes when a follow-up visit is necessary and will let you know the need for this follow-up. You can either make your follow-up appointment with a secretary after your visit or use our secure online appointment request form.

How can I find out the results of my tests?

Patients are asked to call the physician's office for results of lab work and x-rays. In the event of an abnormal result requiring intervention, the physician or their designated staff person will notify the patient for follow-up or further testing.

How do I find out more about my condition and treatment?

During your examination and treatment, information on your condition will be provided by the physician and licensed staff involved in your care. We also have health education pamphlets, videos and books available, many in several languages. You may also be referred to educational classes at various hospitals as appropriate. Referrals to community resources may be made with assistance from the Social Service Department of a specific hospital. Patients are encouraged to ask questions to be sure they understand and are understood.

Can I see my medical record?

The information in your medical record is available to you by contacting our medical records department. No information will be released by Specialists in Gastroenterology to insurance companies, attorneys, or other parties without your written permission.

How do I reach my doctor in an emergency?

If it is a serious medical emergency, call 911 immediately or go to the nearest emergency room. Remember your health plan may require approval from your primary care physician before an emergency room visit. If you need to talk to your physician, call your physician’s office and describe your problem or need. Leave the phone number where you can be reached and we will respond to your call as soon as possible.

After hours, you can call our medical exchange answering service at 314-388-6578, which will contact one of our on-call physicians. All after-hour calls are logged by the medical exchange answering service and are accessible upon request. These records are kept according to State and Federal regulations.

How can I get my prescription refilled?

To have a prescription refilled, contact your pharmacy. They will contact us if there are any questions. If there is a problem with your medications or you need a refill earlier than usual, call the office and explain the situation so we can have any changes approved by your physician before the Pharmacy calls us.

How do I make a complaint?

If you have concerns, we encourage you to let us know so we can improve our service and care. You can contact us by calling the office, by using the CONTACT US e-mail option on this web site, or by mail to:
Specialists in Gastroenterology
11525 Olde Cabin Rd
Saint Louis, MO 63141

Where do I send my payment? 

All payments are sent to our Post Office Box. The address is:
Specialists in Gastroenterology
P.O. Box 16959
Saint Louis, MO 63105

Payments on Accounts:

It is the policy of Specialists in Gastroenterology to post all patient payments within 2-3 business days of receipt. We will apply the payment towards the oldest outstanding visit unless otherwise specified. If you have made a payment in error or have other questions regarding payments on your account, please contact our Financial Counselors at 314-997-0554.

How do I reach Specialists in Gastroenterology if I have a question on my bill?

Specialists in Gastroenterology Business Office Financial Counselors can be reached at 314-997-0554 from 9:00 am through 4:45 pm, Monday through Friday.

What insurance does Specialists in Gastroenterology accept?

Specialists in Gastroenterology accepts most insurance and will bill both primary and secondary insurance plans as a courtesy for our patients. Please verify with your insurance plan prior to coming to our office to ensure we participate with your plan. They will need our tax ID #43-1755175.

Some insurance plans have restrictions or a specific provider panel that patients must access. Please check with your insurance carrier for specific eligibility, benefits, provider panel and/or referral requirements as they apply to you.

If you have insurance related questions, you can reach Specialists in Gastroenterology Business Office by calling 314-997-0554. The operator will direct you to the appropriate Insurance Specialist to assist you.

In some cases, a physician is unable to accept new welfare patients. Please ask when you call to be sure your care will be covered.

We now accept the healthcare exchange (reform) plans through BCBS and Coventry.

Why do I need to show my insurance card at each visit?

A patient's insurance plan may change many times so to be sure we have current information, we ask to see your card if it has been over a month since your last visit. Inaccurate insurance information can delay payment and may lead to increased medical costs for all patients.

Why haven’t I received a bill yet?

We do not send statements until after your insurance carrier has been billed and processed your claim. Your statement will then show what your insurance has paid and any portion of the balance due from the patient.

Why did it take so long for my insurance to pay?

Insurance billing requires many steps and can take many weeks to complete. We are available for questions that you may have about our bill. We work with the insurance company to ensure correct claims processing. However, questions about how your insurance processed a specific claim should be directed to your insurance company. They can answer questions regarding how your policy and coverage apply to your care.

Why does the bill show a balance forward, instead of claim detail?

The first billing is always itemized. Future bills will have the current itemized detail, but the prior billings will show as a balance forward. Please keep all itemized statements for your records. If at a later date you need an itemized detail summary, please call our business office at 314-997-0554.

What if I can’t pay my bill in full?

We request that all balances be paid upon receipt, or broken into three equal monthly payments. If you are unable to do either of these options, a payment plan may be offered. Please contact our Financial Counselor Department at 314-997-0554, follow the phone prompts for the appropriate person for details.

What does HMO mean?

An HMO is a type of insurance coverage called a “Health Maintenance Organization.” Typically it is structured so that your primary care provider is a gatekeeper and approves/refers for all non-primary care. If you have chosen an HMO plan, you need to be familiar with any rules for obtaining care or for co-payments so you can minimize any expense to you or your family.

Most HMO plans require you to have a referral authorized by your primary care provider at least 10 days before seeing a specialist, though emergencies are an exception. Some surgical procedures require a second opinion before they are performed.

Specialists in Gastroenterology will use the laboratories and other facilities as required by your plan, but you are ultimately responsible to ensure that you stay within your plan’s network.

What does PPO mean?

A PPO is a type of insurance coverage called “Preferred Provider Organization” where groups (panels) of physicians are contracted with an insurance company to provide care under specific fee schedules. These providers are “preferred” because the contracted fees are typically less than those from providers not under contract.

Under a PPO plan, you may or may not need a referral from your PCP. The key difference between a PPO and an HMO is that care is paid for as it is received rather than in advance through a scheduled fee to the provider.

If you have chosen a PPO plan, you need to be familiar with the physicians and facilities in the “network” and any rules for obtaining care or for co-payments so you can minimize any expense to you or your family.

Specialists in Gastroenterology will use the laboratories and other facilities as required by your plan, but you are ultimately responsible to ensure that you stay within your plan’s network.