Insurances, Out of Network Transparency, and Billing
NPI number: 1194832311
We see patients from birth to young adults.
Insurance plans we participate with are:
Horizon NJ Health (medicaid), United (both medicaid and commercial), Cigna, Qualcare, Tricare, straight Medicaid, Medicare.
If you do not have any of the above participating plans, but your plan includes Out of Network benefits (e.g PPO plan), we will help you receive reimbursements for your medical fees.
If your plan has NO out of network benefits but you urgently need an appointment, please get an approval from your insurance company to authorize the visit.
Please note that copay, coinsurance, or deductible is due at the time of delivery of service. Cash and checks are the preferred methods of payment. A convenience fee is charged for credit card payments.
Unpaid bills greater than 3 months will be collected using small claims court. This will incur court fees depending on the courts, interest and administration charges.
Dr. John Tung does procedures at the following facilities, and biopsies sent to the pathologist and their supporting network labs.
Physician services provided in the facility are not included in the facility’s charges eg anesthesiology, pathology, gastroenterology. The Out-of-network Consumer Protection, Transparency, Cost Containment, and Accountability Act, (P.L.2018, c.32), (“Act”), provides enhanced protections for consumers who receive health care services from out-of-network providers.
In an attempt to provide transparency please read the following very carefully
Physicians who provide services in the facility may or may not participate with the same health benefits plans as the facility. The covered person should check with the physician arranging for the facility services to determine the health benefits plans in which the physician participates. The covered person should contact their carrier for further consultation on those costs. I try my very best to send testing to in network medical facilities but due the ever changing landscape of insurance contracts, I am not always 100% sure of this. So it is very important that you make the effort to find out.
Atlanticare Surgicenter - biopsies are sent to AtlantiCare Regional Medical Center, Genesis Labs (Primarius-participate in all insurances) , Diagnon, Quest pathology.
Summit Surgicenter - biopsies sent to Virtua Hospital pathology department. They decide where to send samples or do the tests in house.
Virtua Center for Surgery - biopsies sent to Virtua Hospital pathology department. They decide where to send samples or do the tests in house.
Virtua Hospital - biopsies sent to Virtua Hospital pathology department. They decide where to send samples or do the tests in house.
Some specimens are sent for a second opinion and for other special procedures or special stainings. Please refer to their websites for information on insurance participation.
Labs and Imaging (Xrays, CT scans, Ultrasound, MRI, nuclear medicine and others). I will try my best to guide you to the facilities that participate in your insurance. It is your responsibility to confirm this.
In general, I usually send patients to LabCorp, Quest for blood tests, and the local hospitals .