Easy Access to the Information You Need!
Knowing how and where to find medical records and understanding payment options or invoices can feel overwhelming at times. We’re here to help make it easier.
Listed below are API’s cost estimator, financial assistance information, online bill pay, in-network and accepted insurance providers, easy to follow instructions on how to request your personal health information records, and how to contact our business office for co-pay or other payment questions and information.
Price Transparency
In an effort to support patients with financial decisions concerning behavioral healthcare, API has implemented a Cost Estimator. Choose your insurance provider from the dropdown list below.
API Charge Description Master
The charge description master (CDM) for Alvarado Parkway Institute (API) Behavioral Health System is made available for your information required by the California Health and Safety Code and Centers for Medicare and Medicaid. The information should not be used to accurately estimate final patient cost. The charges contained in API’s CDM are the same for all patients, regardless of insurance company or coverage. However, the charges do not reflect actual reimbursement, which is influenced by a variety of internal and external factors, including negotiated health plan rates, fixed government rates, and more. CLICK HERE for Alvarado-Parkway-Institute_standardcharges.xml.
Financial Assistance
Eligible patients who have household family income below 400% of the current Federal Poverty Level and meet certain income requirements may qualify for free care or partially discounted care and extended payment plan options from Alvarado Parkway Institute Behavioral Health System (API).
Patients may call the Business Office at (619) 667-6187 for more information on financial assistance and/or assistance with the application process.
CLICK HERE to view Financial Assistance Policies & Procedures.
Click below to download the application in English or Spanish.
FINANCIAL DISCLOSURE (ENGLISH)
SOLICITUD DE CARIDAD (ESPANOL)
Completed applications should be delivered to:
Alvarado Parkway Institute
7050 Parkway Drive
La Mesa, CA 91942
Attn: Director of Patient Accounts
or fax to (619) 667-6054
Additional Resources:
The Health Consumer Alliance (“HCA”) is a resource available to patients to help them understand the billing and payment process, as well as Covered California and Medi-Cal Presumptive Eligibility. HCA offers free assistance over-the-phone or in-person. For more information, visit the Health Consumer Alliance website at healthconsumer.org.
Shoppable Services & Financial Assistance Policy:
To review this Hospital’s list of shoppable services in accordance with Title 45 section 180.60 of the Code of Federal Regulations and view Hospital’s Financial Assistance Policy, please visit apibhs.com/client-forms.
Convenient and Secure Online Bill Payment
You can rest easy with our secure and simple bill payment option. Conveniently pay your bill 24 hours a day from the comfort of your home on any device with a credit card using our secure site. Click the button below.
Types of Insurance Accepted at API
Alvarado Parkway Institute is in-network with most major insurance carriers but we also work with insurance plans on an out-of-network basis. We contact your insurance company to attain pre-authorization upon admission, and continue concurrent reviews during the treatment stay as your specific plan allows.
Please contact us and we can help to determine your insurance benefits and coverage for Behavioral Health treatment.
Take a look at our current In-Network list of Insurance companies.
UNDERSTANDING INSURANCE
Alvarado Parkway Institute will work with you to maximize your available insurance benefits. Your insurance plan may cover part or all of your treatment stay, depending on your clinical needs and the medical necessity criteria of your particular plan. Our admissions coordinators will work with you to check insurance coverage and determine the benefits available to you for mental health and chemical dependency services. Insurance benefits vary greatly depending on the policy you have, so it is important that we obtain a detailed quote of your coverage for all levels of care (Inpatient, partial hospitalization, intensive outpatient).
The information we obtain on your behalf from your insurance company will provide the benefits available, but your managed care company still determines the level of care they will cover based on the patient’s presenting problem. The fact that you have benefits available does not mean they will approve treatment since coverage is dependent upon their medical necessity criteria being met at time of admission. Each company has established criteria for rehab insurance based on medical necessity and we encourage you to contact your provider or go to the provider website to review the guidelines for medical necessity related to mental health/chemical dependency coverage.
For outpatient services, Alvarado Parkway Institute may be able to call for pre-certification of treatment once you have been assessed and we have clinical information to provide to your insurance company. Since coverage is based on medical necessity, insurance companies do not authorize your entire length of stay upon admission. As our clinical team recommends additional days based on the patient’s progress in treatment, the Utilization Review Department provides updated clinical information to your insurance company. Should insurance deny further authorization, you will be notified immediately so we can determine an appropriate plan for your continued treatment. We will work with you to the fullest extent to get all days authorized possible; however, the final outcome is the decision of your managed care company.
Authorization to release/obtain protected medical/psychiatric health information
Information about you and your health is confidential. API keeps your health care records secure and confidential. You will need to download and complete the Authorization to Release/Obtain Protected Medical/Psychiatric Health Information form.
There is NO FEE when records are being requested for release to a physician, psychiatrist, or other healthcare provider for your continuing care or treatment. When PHI is requested for your personal use, your attending psychiatrist will be notified by API of your request. He/she must sign the same request you have completed and signed. Please be aware there may be a charge involved when requesting PHI for personal use.
We work diligently to complete each request promptly and accurately. Every approved request must be processed within 14 business days of receipt.
Download, print, and complete the Authorization to Release/Obtain Protected Medical/Psychiatric Health Information form. Complete both (1 & 2) pages, please remember to sign and include your phone number. Incomplete forms will not be processed. Click Here to download instructions. If you have questions, call (619) 667-6013.
You may submit your COMPLETED and SIGNED form in the following ways:
- Fax to (619) 567-4762, Attn: ROI Correspondence
- Drop it off at any API location and request it to be forwarded to Medical Records
- Mail it to Alvarado Parkway Institute, ATTN: Medical Records,
7050 Parkway Drive, La Mesa, CA 91942
Business Office
Do you have questions regarding your treatment invoice, insurance verifications or need to make arrangements for paying your bill? Our Business Office representatives are here to help. Contact us Monday through Friday between the hours of 8am to 5pm. Our office number is 619-667-6187.
Contact API
Our team of caring and compassionate staff members can perform a full assessment to determine whether you might benefit from outpatient mental health treatment. Learn more about how our program can help you by contacting us today at 619-333-7050.
