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Common Billing FAQs

Q: Will my insurance plan cover a preventative skin exam?

Our providers are happy to see you for an exam and consultation. Insurances do not cover preventative skin examinations. Once a condition or lesion has been diagnosed by a dermatologist (whether the spot is benign or malignant) – it is not considered preventative care.  All skin exams will be coded and billed as a regular office visit.

Q: Do I need a referral for an appointment at your office?

Referrals are only required in our office if specified by your insurance company. Please contact your individual plan to determine if your plan requires a primary care referral for a specialist office.

Q: Why am I being asked to pay $100-$250 as a New Patient to May River Dermatology?

This is our new patient policy; if you have a high deductible plan, dependent on what treatment is done in the office at time of service. We will file to your insurance and will either send you a statement for the difference owed or issue a refund via check or credit card.

Q: What is a deductible?

An annual deductible is the dollar amount you must pay out of pocket during the year for medical expenses before your insurance coverage begins to pay. There are times when you may be asked to pay towards your deductible at time of service (i.e.. Surgical procedures, MOHS, New Patient appointments, etc.).

Q: When will I get my bill?

After your visit, we will file to your insurance. Statements are sent after your insurance processed all of the charges. If there is no balance due from you, you will not receive any notice.

Q: What are the adjustments on my bill?

We are in network with a variety of insurance companies and as a benefit of being covered by that insurance you get a discount “adjustment”.

Q: Why did I receive multiple statements for the same visit?

Depending on the services rendered, the claims may be sent to your insurance at different times. For example, pathology charges are sent out separately to office visits and procedures. Other situations that can affect this are: claim denials, inaccurate insurance information, etc. If insurance denies any of your services, our billers work with your plan to attempt to get the claim paid. This can result in some charges being billed out before others.

Q: Why does it look like you billed duplicate charges?

Pathology charges can look like duplicate charges; however, they have a special indicator on the end called a modifier, -26 and -TC. You will almost always have two pathology charges, one for each component. The charge with a -26 on the end is the professional component, which means your specimen was viewed and interpreted by our dermatopathologist. The -TC component is the technical component, which represents the cost of lab equipment and supplies used to process your specimen.

The lab that you may receive a bill from is:

Polaris Skin Diagnostics

8170 Rourk Street, Ste 100

Myrtle Beach, SC 29572

Q: What will I be charged for MOHS?

Mohs can range from $1000-$3000. The procedure consists of two parts – the removal of the skin cancer and the repair of the wound.

The price of MOHS is determined by the following:

  • The number of stages it will take for the cancer to be completely removed
  • The type of repair needed in order to close the wound

NOTE: The above cost range is for MOHS only. It does NOT include fees for:

  • Any additional procedures/pathology (example: biopsy of a different site)
  • Any follow up care

If you have a high deductible insurance plan, we will ask for $500 at time of service that will go towards your deductible.

Q: What will I be charged for surgical excisions?

Surgical excisions can range from $350-$600. There will also be a separate pathology bill as we send out tissue to ensure margins are clear of any skin cancer.

If you have a high deductible insurance plan, we will ask for $300 at time of service that will go towards your deductible.

Q: Who do I contact if I have a billing question?

We are here to help with any questions, Monday-Friday from 8am-5pm. Please call (843) 837-4400 and select option “4” at the prompt to reach the billing department or you can email billing@mayriverdermatology.com

Q: What options do you have to pay my bill?

We accept all major credit cards. You may call our billing department who can take your credit card information over the phone and process your payment. You may also make a payment online at: https://pay.instamed.com/mayriver