Many insurance companies require you or your doctor to obtain pre-admission certification, even for emergency admissions. Failing to do this will not prevent your child from receiving care, but you will be responsible for expenses incurred that your insurance company doesn't cover. You should also notify the billing office
immediately if any changes occur in your insurance coverage during your child's hospitalization.
If you have health insurance, as a courtesy, CSSG will bill your insurance company for you. To do so, we need your cooperation in obtaining the information and signatures needed to file a claim with your insurance company. If there is a difference between what they pay and the actual bill, you will be expected to pay that amount to CSSG.
If you are a member of an HMO or PPO, your plan may have special requirements, such as for a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met.
Newborn babies are usually eligible for coverage under your policy, but only if they are added to your policy within 30 days of birth. It is your responsibility to contact your employer and your insurance carrier to enroll your child. If you need help, please contact our office immediately.
If you are covered by TRICARE, surgical specialty services (except bona fide emergencies)
require a referral/authorization. It is your resposibility
to obtain referral and verify benefits.
Medicaid or Medicaid-related Insurance
If you are covered by Medicaid or Medicaid-related insurance or State and Local Hospitalization (SLH), please provide the office with the patient's identification card to be photocopied. If you are covered by Medicaid or Medicaid-related insurance, you must add your newborn to your Medicaid case. To do this, contact your Medicaid case worker and provide a verification of birth and proof that you have applied for a Social Security card. If you need help with Medicaid forms, please contact our billing department Monday - Friday, 7 a.m. - 4:30 p.m. at (757) 668-8544.
Insurance Plans Accepted
Below is a partial list of insurances plans CSSG participates with:
- Aetna US Healthcare PPO
- CIGNA HealthCare
- Optima Health Plan /Optima Family Care
- Anthem and Healthkeepers Products
- Blue Cross Blue Shield of North Carolina PPO
- United Healthcare of Virginia
- Virginia Premier Health Plan
- Virginia Health Network
- Virginia Medicaid
- North Carolina Medicaid
Insurance Plans with which CSSG does not participate are considered out-of-network which may affect your benefits. Please contact your insurance plan directly to verify participation, referral and authorization requirements.
CSSG billing office hours are Monday - Friday, 7 a.m. - 4:30 p.m. The phone number
is (757) 668-8544.
Please review our Billing and Insurance Frequently Asked Questions
for more assistance.