Health plans that we accept:


We accept most health plans in our Family Practice and the Urgent Care accepts most insurance plans if you have out of network benefits.  In an effort to accommodate our patients we are continuously joining additional plans. We greatly value our relationships with our patients and do everything possible to maintain that relationship.


Please call our office (213) 622-3100 to ask which plans we currently accept.

Patients without insurance are always welcome and we offer very reasonable fees for patients without health care coverage. Please contact our office to learn how we can make health care affordable to you.

We are in network with most ppo insurances

Cash, Credit, Debit

We accept most major credit cards including Visa, MasterCard, Discover and American Express. You may also pay with your debit card or cash at the time of your visit. We do not accept personal checks.

Accepted Insurance

Aetna
Amerihealth

Anthem Blue Cross
Blue Sheild
Cigna
Coventry

Health Net PPO
Humana
Medicare with Medicaid

Medicare with private insurance

Molina

Multiplangoldn

Oscar

Oxford United Healthcare

Pacificare
Tricare

UHC Student Resources

UMR
United Healthcare 

  

If you want to confirm that we are part of your insurance network, please call the member services number on the back of your insurance card.  Our NPI (National Provider Identification) number is 1063468346.  If they say we are in network, please ask for a reference number and please keep in case the claim gets rejected. It is your responsibility ultimately to be absolutely sure that the services we provide will be covered by your insurance.


The member is responsible to check the co-payment, deductible and other fees not covered by your insurance. 

No Insurance, No Problem

We accept uninsured patients and offer great discounts. We will work with you and have very reasonable rates 

HMO

At the present time we are currently contracted with Regal IPA HMO. 


If we are not contracted with your HMO, we can gladly still see you, but you would be responsible for the visit. 

Medi-Cal

We do not accept Medi-Cal. We will can still gladly still see you, but you would be responsible for the visit.  We do accept Medi-Medi (Medi-cal and Medicare combined).

Workers’ Compensation

 We treat a broad range of work-related injuries. Please check with your employer to confirm that we are an approved treatment site. 

Billing Questions

 For any billing inquiries, please contact Vanesa at (213) 441-7010 or email elitebillingdept@gmail.com

Frequently Asked Questions:

Our dedicated team of billing specialists is available to help you with your billing questions and provide assistance related to your bill and payments, from 10:00 am to 5:00 pm, Monday through Thursday. To speak with a representative, please call: 213-622-3100.



Why am I being billed when I have insurance? Many insurance companies have amounts which the patient must pay. These are called deductible, co-pay, or co-insurance payments. If your insurance plan requires you to pay a deductible or co-insurance, the balance will be billed to you. If you have a question about why your insurance company did not pay part of a claim, please contact your health insurance company directly.


When will I get my bill?  Elite Medical Clinic will collect payments from your insurance company (or companies) before sending you a final bill. The balance due after the payments have been applied will be billed to you via printed statement. The statements are generated within 48 hours of the final insurance payment being received and applied to your bill.



Why am I asked for my insurance card every time I visit? We have found that insurance information changes frequently. Asking for your insurance card at each visit is the surest way we know to make sure that your billing record is complete and accurate.


How do I make a payment? You can make a payment through our online portal, via telephone 213-622-3100, or by mail using the address below that applies to you:


Houman M Kashani, MD APC

P.O. Box 49901

Los Angeles, CA  90049




Helpful billing terms:


Explanation of Benefits (EOB): A statement an insured member receives from an insurance company that lists the services provided at Elite Medical Clinic, the amount billed, any insurance payments, and patient responsibility.


Co-pay: A specified dollar amount that is determined by a patient’s insurance company, and paid out-of-pocket toward a specified service at the time of service.


Deductible: A specified financial amount agreed upon by the insured member and the insurance company that an insured member must pay toward medical services before the insurance company will make any payments. Common deductibles can range anywhere from $2,500.00 to $5,000.00 per individual and can be as much as double for a family.


Guarantor: Someone, who may or may not be the patient, who either accepts or is legally responsible for the payment of bills for medical services. The guarantor is often a parent or guardian of a minor child.


Patient Responsibility / Financial Responsibility: The amount of a medical bill that a patient is required to pay.


Insured Member / Subscriber / Beneficiary: Someone who has medical coverage through a health insurance company.


In-Network: When a doctor, hospital, or other healthcare provider participates in an insurance plan’s network, the provider agrees to accept your insurance payment for covered services as payment in full (minus your deductibles, co-pays, and co-insurance amounts).


Elite Medical Clinic participates with many plans.

Contact your insurer for specifics about your plan.


Out-of-Network: When a doctor, hospital, or other healthcare provider is not part of an insurance plan’s network, it is considered a Non-Participating or Out-of-Network Provider. If a patient receives medical services from an Out-of-Network Provider, the patient may be responsible for higher costs or the payment in full (for all services rendered).


Statement Balance: The amount that a doctor, hospital, or other healthcare provider charges a patient after the patient’s insurance company, or Medicare has paid its approved amount.


Co-insurance: The portion of the balance for covered medical expenses that an insured member must pay after payment of the deductible. Examples are 10%, 20% co-insurance. The co-insurance is often collected at the time of service.


Pre-authorization: The process of obtaining permission to perform a service from the insurance carrier before the service is performed. Pre-authorizations are often needed for CT scans and MRIs in the Urgent Care setting.


Always contact your insurance carrier with specific questions regarding your plan and coverage.

Make an appointment now!