Gynecology Billing

Annual Visits

Recent changes in insurance coverage have defined an annual exam as a strictly preventative visit, that is limited to the following services:

• Updating the patient medical history
• Recording vitals
• Breast examination and a pelvic examination with a pap smear, as indicated
• Ordering preventative tests, such as mammograms and bone density testing
• Routine screening lab work and routine medication refills

IMPORTANT!  Any discussion or management of new problems or detailed review of chronic conditions are outside the scope of preventative services and will either be billed separately or discussed in a subsequent appointment.

Lab Services

Triangle Physicians for Women contracts with outside vendors for laboratory services. The nature of the service provided will determine the lab we use for processing. Lab services will be billed by the vendor, and we ask you to refer your questions to them for support.

To determine the lab service used, please refer to your billing statement.

• For questions regarding a bill from RPLA (WakeMed Laboratory Services), please contact 800-284-9806.
• For questions regarding a bill for services from Unified Women’s Healthcare/Labcorp, please contact 984-229-1091.

Patients with Commercial Insurance

For those patients with insurance accepted by our practice, we will provide a courtesy filing of your visit for payment by your insurance company.  Any copay required by your insurance company will be collected at the time of service.

For those undergoing a medical procedure, our GYN Financial Coordinator will perform a benefit check for patients covered under in-network insurance and provide you with information on your anticipated portion. Your anticipation portion must be paid in full before the date of the medical procedure.  

Click HERE for more information on insurance at TP4W.

Self-Pay Patients

Patients who do not have commercial insurance or are covered by out of network insurance will be responsible for payment at the time of service.

For those undergoing a medical procedure, our GYN Financial Coordinator will reach out to you to inform you of the cost which must paid in full before the date of the medical procedure.  

Patient Billing Questions

Due to the confidential nature of your health, we ask that all billing questions initiate in the Patient Portal. Asking your question(s) in the portal will allow us to have a record of the question as well as the answer provided by our staff.  The link to the portal is HERE, and you will find a link to our billing staff in the Messages prompt at the top of the screen.  It is our goal to respond to all portal billing questions within 1 business day.