North Houston Anesthesiologists,
808 Russell Palmer Road, Suite 151
Kingwood, TX 77339
Telephone - (281) 540-7500
Fax - (281) 540-7502
North Houston Anesthesiologists accepts patients with any insurance
As of February 2007, the group is currently contracted with the
following commercial payors:
- Blue Cross Blue Shield and HMO Blue
Feel free to verify with our billing office
before services our provided for the most updated coverage.
We bill claims to non-contracted payors.
Some of them, primarily United, will pay for hospital-based physician
services as in-network when both the hospital and surgeon are both
You should check with your insurer to see
what coverage your policy provides to out-of-network hospital-based
Wrap-around clauses apply when the hospital/facility
and surgeon are both in-network with the payor.
The clause lets the payor pay ALL provider
claims for the surgery as if they were in-network, even if they
are not. Payors with wrap-around clauses recognize that patients
only get to choose their hospital/facility and surgeon, and have
no say in who provides the other hospital-based services, such as
anesthesia, radiology, pathology/lab, etc., and therefore do not
penalize the patient by applying the lower out-of-network benefits.
However, if either the surgeon or hospital/facility are out-of-network,
then the wrap-around clause is not applicable and any out-of-network
claims are paid using out-of-network deductibles and benefit levels.
Even if the facility advises the patient
that they will only charge their in-network deductible and co-pay
amounts, the payor will still not apply wrap-around if the hospital/facility
are not contracted with the payor. In this situation, the patient
will unfortunately falsely believe they will not suffer ANY out-of-network