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Patient Resources //

If you have any other further questions regarding our services please feel free to contact us. Our staff is here to help. 


Thank you for visiting our site!


Dr. Richard Tiegen, DMD, A.P., Dipl.Ac.

Vivian Tiegen, RD, LDN, M.Ed., CDE


Question about your bill //

​​What billing or insurance information will I receive?

Once your claim is processed by your insurance you should receive a copy of your Explanation of Benefits (commonly referred to as an EOB form). This is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf.

How long will it take to get things settled with the insurance company?

Claims can take approximately 30 to 45 days to process with insurance companies. 

Why am I getting bills from physicians?

It could be one of several reasons such as your claim has been processed by your insurance company and you may have a "patient responsibility" amount that must be paid. This can be part of your deductible, copay or coinsurance. If you're unsure why, please contact us and we will explain further. 

I received a notice that my insurance company has paid on my bill - but I can't understand how they calculated their payment amount. Do you know?

Please feel free to contact us at 561-624-9744 and a member of our staff will be happy to explain the breakdown of the payment. Be sure to have the Explanation of Benefits (EOB) that you received from your insurance on hand so that we can go over it with you. 

Health plans 

Acupuncture Services

*Please contact us so that we may verify with your insurance if our providers are in network with your particular plan.  Plan coverage changes continuously. We are unable to provide you with a current list  of plans that cover our services. We are  happy to discuss this and assist you with verifying acupuncture coverage with your Commercial, VA or Workman's Compensation  Plan. At this time, acupuncture physicians practicing independently are not able to bill Medicare. 


Nutrition Services

We are able to bill Classic Medicare for a only a few medical conditions when considered Medically necessary: 

Per Medicare Guidelines, Only these conditions are covered by Classic Medicare: Diabetes, Chronic Kidney Disease and Two Years Post Kidney Transplant.

Physician Referral is Required for Nutrition Medicare Coverage.

Our Nutrition Services are Out of Network for Medicare Advantage and Commercial Plans for example, AARP, Aetna, UHC, Cigna, Humana, and Florida Blue. If you require commercial  insurance coverage, we suggest that you contact your plan to ask if there is a an in network dietitian that can assist you.

We offer affordable  self-pay rates and discount packages for our Nutrition patients. Unfortunately, in Florida, the commercial insurance in-network panels have been closed to most dietitians for over 15 years. Most dietitians in Florida  have not been allowed in to participate. Please feel free to discuss this matter with your insurance company and government officials. We would love to be able to provide covered nutrition services to our patients. 

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