Insurance and Billing

Insurance Payment Options

Most insurance companies do not require a referral to meet with one of our Sleep Providers at Sleep Centers of Middle Tennessee.

If you do not see your Insurance Company listed below, please call us at (615) 893-4896. We continuously add to our list of accepted Insurances.

Insurance Providers Accepted

Aetna *

Aetna Medicare

Allied Benefit Systems *

All Savers United Healthcare

Anthem Blue Cross Blue Shield *

ASR Health Benefits *

Blue Advantage

Blue Care

Blue Cross Blue Shield of Alabama *

Blue Cross Blue Shield of Arizona *

Blue Cross Blue Shield of Arkansas *

Blue Cross Blue Shield of California *

Blue Cross Blue Shield of Florida (Florida Blue) *

Blue Cross Blue Shield of Illinois *

Blue Cross Blue Shield of Kansas City *

Blue Cross Blue Shield of Louisiana *

Blue Cross Blue Shield of Massachusetts *

Blue Cross Blue Shield of Michigan *

Blue Cross Blue Shield of Minnesota  *

Blue Cross Blue Shield of Mississippi *

Blue Cross Blue Shield of North Carolina *

Blue Cross Blue Shield of South Carolina (South Carolina Blues) *

Blue Cross Blue Shield of Tennessee *

Blue Cross Blue Shield of Texas *

 

Capital Blue Cross *

CareFirst Blue Cross Blue Shield (Maryland, DC) *

Cigna *

Cigna Connect *

Cigna Healthspring

Cigna Oscar

EBMS *

Farm Bureau Health Plans

Federal Blue Cross Blue Shield *

GEHA

Golden Rule

GPA

Health Partners *

HealthScope Benefits

Highmark Blue Cross Blue Shield (Pennsylvania, Maryland, and Delaware) *

Independence Blue Cross *

Humana

Horizon Blue Cross Blue Shield of New Jersey (PPO ONLY) *

Lucent Health *

Medicare Part B

Meritain Health *

NALC (National Association of Letter Carriers) *

PHCS *

Premera Blue Cross Blue Shield *

Regence Blue Cross Blue Shield *

SmartHealth (Blue Cross Blue Shield of Michigan) *

Surest

Tricare East *

Tricare Prime *

Tricare Select *

United Health Care

United Health Care Shared Services

United Medical Resources

US Health Group

Web TPA *

Wellcare

Wellpoint

 

*indicates plans accepted for durable medical equipment

Insurance Providers Not Accepted

Ascension Personalized  Care 

AMBETTER 

Anthem BlueCrossBlueShield of MA 

BlueCrossBlueShield of TN NETWORK E 

BlueCrossBlueShield of Northeastern New York 

BlueCrossBlueShield of Western New York 

Devoted Health Plans 

Excellus BCBS of New York 

Excellus Blue PPO 

GeoBlue BlueCrossBlueShield 

Horizon New Jersey (unless PPO) 

LifeStyle Health Plans 

Medicaid NOT in Tennessee 

REGENCE BlueCrossBlueShield of NY 

REGENCE BlueCrossBlueShield of NJ 

REGENCE BlueCrossBlueShield of WA 

Sublime Strategic Limited Partnership 

TriWest

Non-Insurance Payment Options

We accept cash pay, debit and credit cards, HSA and FSA funds, and Care Credit. You can apply for Care Credit financing here.

Billing and Financial Services Information

Please read through our complete financial policy below for information about our standard terms, when payment is due, and more information on financial services.

(revised 1.13.25)

Thank you for choosing Sleep Centers of Middle Tennessee, PLLC (“SCMT”) for your sleep medicine care.

For insured patients, any specialist copays are due at the time of your clinic or telehealth appointment. For sleep testing, we may ask that you prepay a small portion of the estimated out of pocket at the time you schedule. We will bill your insurance for all services rendered. Your insurance company will send you an Explanation of Benefits (EOB) that explains how much they paid and how much you are ultimately responsible for. These are usually available 10 to 30 days after we bill for your visit. You will receive a statement notification from SCMT that reflects the after-insurance amount due, if any.

If you are not using medical insurance or do not have insurance for your office visits, we may ask that you pay your estimated out-of-pocket amount or make payment arrangements at the time of your appointment.

  1. Payment Methods 

We accept cash, check, HSA/FSA, debit/credit cards, and Care Credit (which provides low or no interest payment plans for 6 to 24 months). Click here to apply for Care Credit

  1. Credit Card on File 

We offer a convenient option for patients to securely store your credit card, debit card, or HSA card until your insurance(s) have fully processed your claim, paid their portion, and notified us of the exact balance due from you (if any). Balances owed may be automatically applied to the card on file. Patients receive advance email notification from SCMT 10 days and 2 days prior to the date of charge. SCMT will email you successful payment confirmation. This in no way compromises your ability to dispute a charge or question your insurance company’s EOB.

  1. Estimated Out of Pocket Cost

SCMT may provide you with an estimated out of pocket cost (or EOOP). Your EOOP is not the exact amount that you may ultimately owe. It is only an estimate. SCMT’s charge amounts are consistent and determined by your insurance carrier, but the amount your insurance company pays will vary depending on your deductible, coinsurance and other factors. After your insurance processes your claim, you will receive notification of any amount due.

  1. Payment Plan 

If you receive a statement and are unable to pay your bill in full, we offer flexible payment plans. Patients have complete control of the amount and frequency of payments. You can set up a payment plan online, in office or by calling our billing number at (615) 921-2400. 

Standard Terms

  • Proof of insurance and photo ID are required for all patients so that we may make a copy for our records. Providing a copy of your insurance card does not confirm that your coverage is effective or that the services rendered will be covered by your insurance company. You may be asked to show your insurance card at each visit.
  • It is your responsibility to know your insurance benefits, including whether we are in network and whether sleep medicine is a benefit covered by your policy. SCMT is not responsible to inform you prior to your visit if we are out of network, our services are excluded from your policy, or if your policy offers limited annual benefits. If your insurance declines to pay, you will be responsible for all services rendered out of pocket. Contact your insurance company with any questions about your plan and benefits.
  • It is your responsibility to provide current and accurate insurance information. Should you fail to provide this information, you will be financially responsible for any amounts your insurance declines to pay. If your insurance plan or policy changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.
  • Balances over 90 days old will be referred to collections.

No Show/Late Cancellation Policy

Advance notification of at least one business day is required to cancel or reschedule an appointment. Missing a Clinic or Telehealth appointment without notification may result in a $50 fee. Missing an In-Lab Sleep Testing appointment without notification may result in a $100 fee.

RING Usage/Return Policy
Additional charge of $300 “No Return Fee” for Sleep Image RING home sleep testing device may apply if the RING device is not returned to SCMT within 10 calendar days after it is received by patient. If the device is returned in an unusable condition due to patient negligence or damage which occurred while the device was in the patient’s possession, the same fee will apply. 

A $75 “No Use Fee” shall automatically be charged if the device is sent or delivered to patient but is returned to SCMT without a test performed.

Returned Check 

A $30 fee will be charged if a check is returned by patient’s financial institution. 

I have read the financial policies above, and my signature below serves as acknowledgement of a clear understanding of my financial responsibility. I authorize my insurance benefits to be paid directly to Sleep Centers of Middle Tennessee, PLLC. I understand that if my insurance company denies coverage and/or payment for services provided to me or my dependents, I assume financial responsibility and will pay all such charges in full. 

I understand that once my insurance has paid their portion for the medical care received from SCMT, the remaining balance is my responsibility as shown on my Explanation of Benefits (EOB) from my insurance company.