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Insurance at Amerimmune Clinic in Arlington, VA

Immunologist Accepting Insurance in Arlington, VA

Dr. Oral Alpan, MD is accepting insurance at Amerimmune Clinic, making it easier for you to receive professional care for immune-related conditions. We offer tailored treatment plans to address your unique health needs. For more information, contact us or request an appointment online. We are located at 1600 Wilson Blvd, Suite A #320, Arlington, VA 22209.

Immunologist Accepting Insurance in Arlington, VA
Immunologist Accepting Insurance in Arlington, VA

Table of Contents:

What specific insurance plans are accepted at the Arlington, VA, location?
What happens if my insurance denies the claim for specialized immunology testing—will I be responsible for the full cost?
Is a referral required from a primary care provider (PCP) under HMO plans for immunology visits at Arlington?
Do you offer same-day appointments for insured patients, and how does insurance impact scheduling priority?

What specific insurance plans are accepted at the Arlington, VA, location?


Amerimmune Clinic in Arlington, VA, accepts a wide range of insurance plans to ensure comprehensive access to immunology services. The clinic currently accepts:

• Medicare and Medicare Advantage Plans
• Blue Cross Blue Shield PPO
• CareFirst Blue Choice
• Anthem Virginia and Anthem Health Keepers
• Aetna
• Cigna
• United Healthcare
• GEHA
• UMR Compass Rose
• Sentara
• Medicaid Virginia
• Tricare
• Trust Mark
• Meritain
• PHCS
• First Health Network
• United Oxford

For Health Maintenance Organization (HMO) plans, a referral from your Primary Care Physician (PCP) is typically required. It’s important to note that insurance coverage can vary based on your specific plan and provider. Therefore, it’s advisable to contact Amerimmune Clinic directly or consult with your insurance provider to confirm coverage details.

What happens if my insurance denies the claim for specialized immunology testing—will I be responsible for the full cost?


If your insurance provider denies coverage for specialized immunology testing, such as flow cytometry or comprehensive immune workups, you may be responsible for the full cost of these services. Amerimmune Clinic requires patients to sign an Advanced Beneficiary Notice (ABN) form in such cases. This form acknowledges that you understand the potential financial responsibility for services not covered by your insurance.

The clinic’s billing department can assist in verifying coverage details, obtaining necessary authorizations, or setting up payment plans if needed. It’s advisable to reach out to both Amerimmune Clinic and your insurance provider to understand how the policy changes affect your coverage and to ensure that any required referrals or authorizations are updated accordingly.

Is a referral required from a primary care provider (PCP) under HMO plans for immunology visits at Arlington?


Yes, for Health Maintenance Organization (HMO) plans, a referral from your Primary Care Physician (PCP) is generally required to see a specialist at Amerimmune Clinic in Arlington, VA. Your PCP will need to submit a referral request to your insurance company, which includes the necessary information for processing. This typically includes the group NPI (1194870311) and tax ID (04-3829427) for Dr. Oral Alpan, MD.

It’s essential to ensure that the referral is submitted and approved before scheduling your appointment to avoid potential issues with insurance coverage. Additionally, some insurance plans may require prior authorization for certain services, so it’s advisable to verify these requirements with your insurance provider.

Do you offer same-day appointments for insured patients, and how does insurance impact scheduling priority?


Amerimmune Clinic strives to accommodate patients in a timely manner; however, same-day appointments are generally not available. The clinic operates on a scheduled appointment basis, and availability may vary depending on the day and time.

Insurance coverage can impact scheduling priority in some cases. For instance, if your insurance plan requires prior authorization for certain services, the clinic may need to obtain this authorization before proceeding with scheduling. Additionally, some insurance plans may have specific requirements or limitations that could affect the timing of your appointment.

To ensure timely access to care, it’s advisable to contact Amerimmune Clinic directly to discuss your insurance coverage, verify any necessary referrals or authorizations, and schedule your appointment accordingly.

Navigating insurance coverage for immunology consultations and testing at Amerimmune Clinic in Arlington, VA, requires careful attention to detail. The clinic collaborates with a wide array of insurance providers, making it accessible to a broad spectrum of patients. However, coverage details can differ depending on the specifics of your plan, and understanding these nuances is vital to avoid unexpected costs. For more information, contact us or request an appointment online. We are located at 1600 Wilson Blvd, Suite A #320, Arlington, VA 22209. We serve patients from Arlington VA, Falls Church VA, Alexandria VA, McLean VA, Annandale VA, and surrounding areas.

HMO Patient Referral Information: Your insurance plan mandates a referral from your primary care physician (PCP) for specialist visits. Please reach out to your PCP and provide them with the necessary information to submit a referral request to your insurance company. Potential necessary information is in bold below. 

• O&O Alpan, LLC group NPI – 1194870311
• Tax ID – 04-3829427 

For New Patients: 

• 99203 – New patient consult 

For Existing Patients Renewing Referral: 

• 99213 – Established patient consult 

The following codes could potentially be used for diagnostic testing at the time of the appointment: 

• 95004 – Skin prick test 
• 88184 – Flow cytometry 1 marker 
• 88185 – Flow cytometry add-on 
• 88189 – Flow cytometry reading 

The provider may also request bloodwork, which would be drawn during your appointment. Typically, these labs are sent to LabCorp; however, please note that we do not control the cost associated with this potential bill.

Additionally, the provider may recommend a comprehensive immune workup, which is processed by Amerimmune lab. The necessity of this test can be discussed further with the provider during your appointment. Please be aware that based on our experience, HMOs generally do not cover this type of blood test. If you decide to proceed with this testing, we will require you to sign an ABN form and arrange payment with our billing department. 

Insurances accepted by Amerimmune

  • Medicare
  • Medicare advantage products
  • Blue Cross Blue Shield products PPO
  • Blue Cross Blue Shield Federal Plan PPO
  • CareFirst Blue Choice Products
  • CareFirst Administrator
  • Anthem Virginia
  • Anthem Health Keeper
  • Anthem Health Keeper Plus (Medicaid)
  • Aetna products
  • Aetna Medicare
  • Cigna
  • United Healthcare products
  • United Community Plan (Medicaid)
  • United Oxford
  • GEHA
  • UMR Compass Rose
  • Sentara
  • Medicaid Virginia
  • Tricare
  • Trust Mark
  • Meritain
  • PHCS
  • First Health Network
Medicare
Blue Cross Blue Shield products PPO
CareFirst Blue Choice Products
Anthem Virginia
Aetna Medicare
Cigna
United Healthcare products
GEHA
UMR Compass Rose
Sentara
Tricare
Trust Mark
Meritain
PHCS
First Health Network
United Oxford
Medicaid

Locations of Amerimmune Clinic

Rockville, MD

  • 121 Congressional Lane, Suite 320, Rockville, MD 20852
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Arlington, VA

  • 1600 Wilson Blvd, Suite A #320, Arlington, VA 22209
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McLean, VA

  • 8260 Greensboro Drive Suite A-15 McLean, VA 22102
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Bethesda, MD

  • 4827 Rugby Avenue Suite A 201 Bethesda, MD 20814
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Alexandria, VA

  • 3541 W Braddock Road Suite 130 Alexandria, VA 22304
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Gaithersburg, MD

  • 806 West Diamond Avenue, Suite 310, Gaithersburg, MD 20878
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Directions to Nearest Location