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Home  >  Insurance & Forms

Insurance & Forms

We are mindful of the rising costs of healthcare, especially when it comes to how it is increasing our patient’s premiums, deductibles, and co-pays for office visits, procedures, and prescriptions. We’re partnering with health insurance companies like Horizon Blue Cross/Blue Shield, United, Cigna, and Aetna to try to bring down the overall costs of care in digestive diseases while maintaining our high level of quality.

Please note that Insurance Carriers change and update Provider Contracts and Product lines frequently.

We suggest that you call your carrier and verify our participation with your specific insurance plan.

Insurance Providers

  • Aetna
  • Amerihealth
  • ChampVA
  • Cigna
  • EA Health Charity Care – Red Bank Gastroenterology only
  • Emblem Health – GHI PPO
  • Empire Blue – Monmouth County practice locations only
  • First Health/Coventry
  • Geisinger
  • Horizon BCBS
  • Horizon Inner Circle Hackensack/Meridian
  • Horizon NJ Health – Atlantic Coast Gastroenterology Associates, Monmouth Gastroenterology only
  • Horizon Omnia
  • Magnacare
  • Medicare
  • Multiplan
  • NJ Medicaid – Monmouth Gastroenterology only
  • Oxford
  • Qualcare
  • Qualcare Inner Circle – transferred to Horizon effective 1/1/2018
  • RR Medicare
  • Tricare – Humana
  • United Healthcare
  • VA Choice
  • VNA – Red Bank Gastroenterology only
  • Wellcare – Clinic providers only

Questions? Call 732-702-1039

Patient Forms

Below are a list of forms to complete and return to the Care Center you are visiting. Once the forms have been filled out please bring them to your next office visit. You may also complete them through our digital check-in process. If you have any questions regarding these forms please call 732-702-1039.

  • Patient Registration Form
  • Consent for Use and Disclosure of Protected Health Information
  • Patient Financial Responsibility Statement
  • Card on File Agreement
  • Notice of Privacy Practices
  • HIPAA Consent
  • Office Policies
  • Medical Procedure Billing Form
  • Medical Records Release Form

Patient Portal Instructions

For instructions on setting up a Patient Portal login and how to login, please click here.

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