Humboldt Neurological Medical Group
Paying for Your Services

As a courtesy we bill all insurance plans.  Please bring your insurance cards with you at the time of
your appointment and be prepared to make payment based on the following information.

We are participating providers with the following insurance plans:  All plans administered by the
Humboldt-Del Norte Foundation for Medical Care, including Anthem Blue Cross HMO and
Blue Shield HMO. We also participate with Anthem Blue Cross PPO, Blue Shield PPO,
traditional Medicare, Veteran’s Administration.
. We do NOT participate with Anthem Blue Cross
Covered California and Insurance Exchange plans. If you are covered by any of these plans please
check your benefits to determine if prior authorization is required for our services.  Please note that
all required
co-payments are due upon check-in at the time of your appointment.

Medi-Cal  Medi-Cal (Humboldt and Del Norte Counties) patients are seen by referral only.  PHP Medi-
Cal requires
a RAF (referral authorization) from your current PCP (Primary Care Physician) for all
services.  Patients who have
not met their Share of Cost will be considered private pay and
payment in full will be required prior to, or at, the time of service.  Payments made will be deducted
from the "Share of Cost" obligation for that month.
We cannot bill Medi-Cal/PHP without current

Private Health Insurance (including Blue Cross Covered California and Exchange Plans):  
We are not participating providers. Please call the Customer Service telephone number on your
insurance card and inquire if they offer any type of benefit for non-participating providers due to
geographical limitations. We are the only neurologists within a 150 mile radius.  If requested by your
insurance, our Tax ID number is
94-2391415.  By obtaining this out of network exemption prior to
your appointment you will get the maximum benefit from your insurance company. If you do not
request and 'out of network exemption' in advance, please be prepared to pay in full at the time of

Private Fee for Service Medicare (PFFS).  Please contact our office prior to your appointment to
inquire if we accept your plan.  Some examples of PFFS Medicare plans are Blue Cross Freedom
Blue, Secure Horizons, Health Net Pearl Option, and Humana.

Monthly payments are required on any unpaid balance.
We currently require an initial payment
of $150 for all consultations and $200 for EMG and/or Nerve Conduction Testing unless we
are participating providers with your insurance.
 Should you receive payment directly from  your
insurance company for our services that amount becomes due and payable at once.
arrangements can be made for any balance not paid by your insurance.

Private Pay (no insurance coverage).  Payment in full is required at the time of service.

For your convenience we accept cash, checks, Visa and Mastercard

If you need to make special payment arrangements, please contact Humboldt Neurology Patient Accounts

Updated 4-6-18
Phone  (707) 443-9385              2828 O'Neil Lane, Eureka, CA 95503              Fax (707) 443-5493
Regarding charges from:
Donald Iverson, M.D.  and  Melissa McKenize, D.O.

All information within this webite applies to charges rendered on or
before April 8, 2018. Charges rendered April 9, 2018 and beyond will be
billed as
St. Joseph Medical Group and will follow their guidelines.