Male and Female Urology 
Patient--not Third-party Payer Centered Care
 
 
 Tel: (800) 886-6690  ext 1
What to Bring to Your Appointment
  • Your insurance card
  • Physician referral forms if you have any
  • A list of current prescription or over-the-counter medications you are taking, including dose and frequency
  • Pertinent information about your medical and surgical history
  • Any recent x-rays or appropriate records or studies you may have

If you have any questions, call the office number listed below.

Tel: (800) 886-6690 ext 1


Payment and Insurance Information

Northern California Urology Medical Clinic is a provider for Medicare. We are also a member of the preferred provider panel for Blue Shield of California and its affiliates. We also provide insurance billing for all plans. Medicare payments for covered services, less co-pay and deductibles, are accepted as payment in full. Blue Shield payments for covered services, that are paid under the terms of our contract with Blue Shield, less co-pay and deductibles, are accepted as payment in full. For patients whose insurance plans call for a penalty or decreased reimbursement for going outside of the panel, we are able to make accomodations to offset that penalty. For non-Medicare or non-Blue Shield insured, all fees not covered by the insurance company are the full responsibility of the patient unless accomodations have been made.

We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding payment policy or insurance coverage, please call us at the phone number below. Questions regarding the scope of your coverage and benefits (what is and what is not covered) should be directed to your employer or insurance company.

Tel: (800) 886-6690 ext 1





Northern California Urology Medical Clinic
Kenneth E. Roth, M.D.
20990 Redwood Road
Castro Valley, CA 94546
Tel: (800) 886-6690 ext 11
Fax: (888)668-4184
  
~ Serving Contra Costa, Alameda, San Francisco, and East Bay & Beyond~

Copyright 2008 Northern California Urology

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