Primary Care Doctor Accepting Insurance in Greensboro, NC

At Triad Primary Care, we are committed to making quality healthcare accessible to the Greensboro community by accepting a wide range of insurance plans. Our practice participates with most major commercial insurance carriers, including:

• AARP

• Aetna

• Aetna Duke Basic

• Aetna Duke Select

• Aetna NC Connected Care

• Aetna Medicare Advantage

• BCBS NC

• BCBS-Brighton Health

• BCBSNC-Experience Health Medicare Advantage HMO

• Blue Valu/Blue Home

• Blue Medicare

• Cigna

• Cigna Connect

• First Health(Aetna)

• Health Team Advantage

• Humana- Medicare and Commercial

• MedCost

• Medicare (NC)

• Medicare Railroad (NC)
Mutual of Omaha

• NC Medicaid

• NC Medicaid Managed Care Plan

• NC Medicaid Direct

• NC Medicaid Managed care Plans

• Amerihealth Caritas of NC 

• BCBS Healthy Blue

• Carolina Complete Health

• UHC Community Plan

• WellCare

• State Health Plan (Cleare Pricing Project)

• Surest

• Tailored Health Plans

• Alliance Health

• Partners Health Management

• Sandhills Center

• Vaya Health

• UHC Medicare Advantage

• UMR

• United Healthcare

• United Healthcare Exchange Plans

• Wakemed Employee HMO- Contigo Health

• Wellcare- Medicare

Please note that insurance plan participation can vary and may change over time. To avoid unexpected costs, we encourage all patients to contact Triad Primary Care directly or visit our website to verify that your specific insurance plan is accepted before scheduling your appointment. 

To confirm whether Triad Primary Care accepts your health insurance, start by contacting our office directly. When you call, please have your insurance card ready and provide the name of your insurance company along with your plan details. Our staff will check our records and let you know if your specific insurance plan is accepted.

You can also verify your coverage by reaching out to your insurance company. Most insurers have a customer service phone number and online directories where you can search for in-network providers. When using these tools, search for “Triad Primary Care” by name or location, and make sure the information is current, as insurance networks can change. Once you have confirmation, ask if there are any requirements, such as needing a referral or prior authorization for certain services at Triad Primary Care. For your records, we recommend noting the names of the representatives you speak with and the date of your call.

At Triad Primary Care, accurate insurance verification is a key part of our commitment to providing seamless patient experiences and preventing unexpected billing issues. To ensure that your coverage and benefits are correctly determined before your visit, our team will collect specific information at the time of scheduling or check-in. We will ask for the following details:

• Patient’s Full Name: As it appears on your insurance card.

• Date of Birth: To accurately identify your policy.

• Policyholder Information: If the policyholder is different from the patient, we’ll need their name and relationship to you.

• Insurance Company Details: Including the name of your insurance provider and their customer service phone number for direct communication, if necessary.

• Member Identification & Group Number: These are typically found on your insurance card and are essential for verifying your benefits.

• Type of Insurance Plan: (e.g., HMO, PPO, Medicare), since coverage and requirements may vary based on your plan.

• Provider Details: Triad Primary Care’s National Provider Identifier (NPI) and Tax ID, which may be needed during verification.

• Reason for Visit: This helps us determine what services will be covered and if any specific authorization is required.

• Coverage Status: Including effective and termination dates, to confirm that your policy is active during your appointment.

• Financial Responsibilities: We will verify your co-payment, deductible, and co-insurance amounts, as well as whether prior authorization or referrals are needed for the services you are scheduled to receive.

• Network Status: It’s important to confirm whether Triad Primary Care is considered in-network or out-of-network with your insurance plan, as this affects your out-of-pocket costs and the likelihood of claim approval.

By gathering and confirming this information, we streamline the insurance verification process for our patients, ensuring fewer delays, minimizing billing issues, and helping you focus on your health. If you have any questions about your insurance coverage or how to provide this information, our front desk team is ready to assist you.

We understand that dealing with insurance claim denials can be frustrating. If your claim is denied, please know that it’s not the end of the road—many denials can be successfully appealed or resolved with the right information.

• Review Your Denial Letter: Start by carefully reading the denial letter from your insurance company. This letter should explain why your claim was denied. Understanding the specific reason will help you and our team determine the next steps.

• Contact Your Insurance Provider: Call your insurance company’s customer service department to discuss the denial. Ask for clarification if anything is unclear, and be sure to write down the name of the representative and the date of your call. Sometimes denials occur due to missing information, clerical errors, or misunderstandings about your coverage.

• Gather Supporting Documentation: Triad Primary Care can assist you in gathering any necessary documents, such as medical records, referral letters, or a letter of medical necessity. These documents can help show your insurance company why the service or treatment should be covered.

• File an Appeal: Your insurance company will have a formal appeals process, which will be outlined in your denial letter or policy. Make sure to follow all instructions and deadlines. Submit your appeal in writing, include all relevant documentation, and clearly explain why you believe the claim should be approved. Our billing team is here to help you with this process, and we can provide additional information or write supporting letters if needed.

Persistence and organization are key when dealing with insurance claim denials. Triad Primary Care is committed to supporting our patients every step of the way. If you receive a denial, please contact our office—we’re here to help you resolve insurance issues so you can focus on your health. For more information, contact us or book an appointment online. We are conveniently located at 1309 Lees Chapel Rd., Greensboro, NC 27455. We serve patients from Greensboro NC, Browns Summit NC, McLeansville NC, Oak Ridge NC, Summerfield NC, and surrounding areas.