Clinic Location

7250 France Ave S.
Suite 410
Edina, Minnesota 55435     
Get Directions & Map
Phone:(952) 831-1551
Fax: (952) 831-0725
CustomerService@FAFPEdina.com

Business Office Guidelines

Insurances We Take

Insurances We Take

Insurance is considered a method of reimbursing the patient for fees paid to the doctor, not a substitute for payment. As a courtesy to our patients, this office will submit claims for all insurance. For specific payment or benefits information, please contact your insurance company.

Patients must bring their current insurance card with them to every appointment to ensure proper billing.  Our receptionists will ask to see the card.

France Avenue Family Physicians is contracted with the following insurance networks:

  • Aetna
  • America's PPO (formerly Araz Group)
  • Blue Cross and Blue Shield of Minnesota
  • Blue Plus - must say "France Avenue Family Physicians" on the card
  • Comprehensive Care Systems (CC Systems)
  • Cigna
  • HealthPartners
  • Medicare
  • Medica
  • Minnesota Medical Assistance
  • Minnesota Comprehensive
  • Patients Choice (formerly Choice Plus)
  • Preferred One (PPO)
  • Preferred One Administrative Services - must say "France Avenue Family Physicians" on the card
  • Preferred One Community Health Plan - must say "France Avenue Family Physicians" on the card
  • UCare - must say "France Avenue Family Physicians" on the card
  • United HealthCare
There are many insurances that use these networks. For instance, CBSA, Cigna, and Great West all use the Preferred One network for some of their plans. The net work logo should be on your subscriber ID card. If you are unsure, please contact your insurance company.

 

Motor Vehicle Accident & Worker's Compensation Claims

The clinic will file claims for worker's compensations and motor vehicle accident claims if you provide the necessary billing information and claim number. France Avenue Family Physicians will not become involved in liability disputes. Financial responsibility for our services always rests with the patient.

Credit Collection Policy

Credit Collection Policy

Thank you for choosing France Avenue Family Physicians for your medical care.  The credit and billing policy is designed to explain our collection practices.  Please let us know if you have any questions.

Our physicians and ancillary providers participate in many insurance plans and we will submit claims to these companies on your behalf.  Since every insurance plan is different, please check with your insurance carrier to get specific coverage and payment information.

Please present a copy of your current insurance card at each visit.  In order to extend credit, we will need your social security number and a picture ID.  Your insurance carrier requires that we collect copayments prior to your visit.  Copayments are always due at time of service.

If you do not have insurance you will be required to pay for your services on the day of service.  We will provide you with a 15% discount.

Your insurance company will determine what amount, if any, you owe to France Avenue Family Physicians.  If there is a balance due on your account, we will mail a detailed statement which is due upon receipt.  For your convenience, we accept cash, money orders, and Visa/Mastercard.  A fee of $30 will be charged for all returned checks.

Any balance over 60 days may be placed with a collection agency and/or reported to the Credit Bureau.  Ultimately, this may affect your credit rating.  Therefore, if for any reason you are unable to settle your account within 30 days, it is imperative that you contact our business office.  Do not assume that any statement you receive will be paid by your insurance company.

If your account is placed with an outside collection agency, you will be charged the full amount of collection fees, attorney fees and allowable court costs.  Please note that placement with an outside agency may cause us to terminate your care with our office.

Many of our laboratory tests are sent out to a third party reference lab.  As a result you may receive a bill from the reference lab for those tests.

We make every effort to resolve insurance issues, but please remember that you are ultimately responsible for your healthcare costs.

Our business office is available to assist you with your billing questions and can be reached directly at 952-831-1139.

Clinical Questions

Medication Refills

The physicians at France Avenue Family Physicians receive many requests for medication refills from patients and pharmacies.  Here are a few suggestions to make refilling your medications easier:


  • Many long-term medications can be refilled without a new prescription via a telephone call to your pharmacy.  For refills, plan ahead and call your pharmacy one week prior to running out of your medication.  Once you've placed the call, please allow 24 - 48 hours for the process to take place.
  • You can also request a refill using the patient portal.  Sign up today to access your medication refills. 
  • To assure appropriate use and monitoring of your medication, your physician may require that you be seen before a prescription can be refilled.  Therefore, it is important to call for a physician appointment when you have one refill left.
  • Refills that require a physician's authorization will be approved Monday through Friday, 8:00am to 5:00pm only.  We are unable to respond to refill requests after office hours because your medical record is not available for review at that time. You may pick up approved prescriptions during your pharmacy's hours.
  • Pharmacies offer automatic refill options for long-term medications, which can help you manage your refills. Check with your pharmacy for set up.

Test Results

Patients are always anxious to receive test results. Most results are received in the office and reviewed by the physicians within three to five working days, but some tests take somewhat longer. If a test result is found to be a critical value, you will be notified by phone at once. All normal test results will be relayed to you through the Patient Portal website, letter or a telephone call. However, if you have not received your test results within ten days, please call and leave a message with the nurse requesting the results. Our nurses will be glad to return your call.

New Prescriptions

For the health and safety of our patients, prescriptions are not given unless a patient is seen in the office.  Please make an appointment to see a physician for medical needs that may require medication.

Medical Questions

If you have a medical question during office hours, your call will be returned by a nurse. If necessary, the nurse will suggest an appointment with your physician. Our staff is available to answer your questions by phone, however, observation and examination are essential to the practice of quality medicine.

Referral Guidelines

When do I need a referral?

For any patients that have a health plan that requires a referral, a referral is needed for ANY non ER service received outside of your primary clinic. A referral to a specialist covers claims from that specialist only. Separate referrals may be needed for hospitals, radiology, physical therapy, etc.

Why do some health plan Customer Service representatives state "All you need is a referral from our PCC and you can go?"

Under managed care HMO, each primary care clinic belongs to a care system. Each care system has their designated network of specialty providers. For you to have your highest benefit, it is a clinic policy to refer to an in network provider whenever possible. Some plans have no benefit without a referral. Please contact your health plan Customer Service for those benefit options.

Referrals are authorizations from your primary physician for specialty services received outside of your primary care clinic, in or out of network. Only the physician has the authority to approve or deny a referral request because of medical necessity, network, etc. Some health plans will not authorize an out of network referral from your physician. Those services would require a PRIOR authorization by the health plan PRIOR to having the service

Do I need a referral if I have an emergency admit to the hospital, in or out of area?

No, referrals are not required for ER admits. However, out of area benefits might change; contact your health plan Customer Service.

Do I need a referral if I need to be seen out of area?

It is clinic policy to refer to in network providers whenever possible. Out of area providers are not generally health plan contracted. Contact your health plan Customer Service for self referral, out of area benefits.

My Child is away at college and needs to see a doctor Do I need a referral?

It is clinic policy to refer to in network providers whenever possible. Out of area providers are not generally health plan contracted. Contact your health plan Customer Service for self referral, out of area benefits.

What is a care system (network)?

A care system is an organized team of health care professionals including primary care clinics, associated specialty care providers, hospitals and allied health care professionals who can deliver the full range of health care services for their patients.

Referral Policy

France Avenue Family Physicians (FAFP) has ongoing relationships with many specialty providers and facilities. If we, as your primary care clinic, cannot offer a specific type of service, a referral will be generated if approved by your provider. It is your responsibility to contact the Referral Coordinator at least 48 hours prior to your appointment at 952-831-1133 or customerservice@fafpedina.com.

Under a managed care system, each primary care clinic belongs to a care system. Each care system has their designated network of health care professionals including, primary care clinics, associated specialty care providers, hospitals, and allied health care professionals, who can deliver the full range of health care services for their patients. FAFP is contracted with two separate networks, Fairview Physician Associates (FPA) and Minnesota Healthcare Network (MHN). For you to have your highest benefit and reduce your out of pocket costs, you will be referred to an in-network provider. Referrals outside of the network will not be authorized.

Only the physician has the authority to approve or deny a referral request because of medical necessity, network, etc. If the first specialist refers you to another specialist or for another procedure, YOU must call the Referral Coordinator at FAFP to obtain authorization for that service. The testing or services of the second provider are not automatically included in the referral to the first specialist. The following insurance plans are under managed care and may require a referral:

MHN
  • Medica Elect
FPA
  • Blue Plus
  • U Care
  • Patient Choice (Choice Plus)
  • Preferred One Administrative Services
  • Preferred One Community Health Plan
  • Medica Essentials
It is the patient's responsibility to call and obtain a referral. No retro-referrals will be authorized.

Please contact your health plan Customer Service for any benefit questions. Our Referral Coordinator is here to assist you with any questions you may have. Call or e-mail any questions to:
952-831-1133

 

General Guidelines

Physician Assistants

Our Physician Assistants play an important role here at France Avenue Family Physicians.

Suzanne Runkel and Ellie Price, our Physician Assistants are valuable members of our team.

Physician Assistants are not physicians, nor are they in the process of becoming physicians.  They are known as mid-level providers, and are recognized health care professionals. Their education and clinical experience enables them to offer a broad range of services to patients, always under the supervision of a licensed physicians.

You should see our Physician Assistant for things such as:

  • Well child exams
  • School/Sports physical exams
  • Routine health evaluations
  • Annual pap smear exam
  • Diagnosing and managing common illnesses and injuries
  • Patient education
  • Monitoring of chronic diseases

Physician Assistants graduate from an accredited PA program, usually three years in length.  This includes 9 - 12 months of classroom study and 12 - 15 months of supervised clinical experience.  Prior to attending their Physician Assistant training, PA's have completed a four-year bachelor's degree.

All PA's receive certification after passing an examination developed by the National Commission on the certification of Physician Assistants.  They maintain their certification by earning 100 hours of continuing medical education every two years, and by passing a re-certification exam every six years.

Physician consultation is available to the Nurse Practitioner and Physician Asssistant at all times.

New Patient Forms and Processes

If you are a new patient to our clinic, you can conveniently print the necessary forms to fill out and bring with you. (*** Click on the Back button in your browser to return to this page after you print the documents. ***)

You will need Adobe Reader.  If you dont have it, click here for a free copy.

1.  Print the Patient Registration Form.  Fill out the form and bring it with you to your appointment.

2.  Read the Notice of Privacy Practices.

3.  Print the Consent Form.  Sign and Date it, and bring it with you.  If you would like a printed copy of the Privacy Notice, you may request one at your appointment.

4.  Bring paperwork, your insurance card, any co payment, and a government issued ID to your appointment.

Appointments - Can I see my doctor today?

Same day appointments are generally available with some or all of our providers.  If your provider is not available, you may be offered an appointment with one of our other health care providers.

Quality in Healthcare Initiatives - Current Initiatives

Here at France Avenue Family Physicians (FAFP), we are dedicated to the quality of healthcare our patients receive.  We work hard to set our standards high above those of our peers.  Some of the current quality initiatives we are focusing on include:

1.  Depression.  The number of Americans diagnosed with depression is staggering.  FAFP is committed to helping our patients with depression manage their disease, so much so, that we are participating in an outcomes study that is supported by Fairview Physician Associates (FPA), and Minnesota Healthcare Network (MHN).  If you have, or think you may have depression, and/or anxiety, click here to print out our questionnaire.  Fill it out and bring it with you to your next appointment.

2.  Diabetes.  We are working with MHN, FPA, The University of Minnesota, and the health insurance companies to monitor our diabetes outcomes.  This study measures how often patients receive the appropriate care and get the correct blood tests and measures of other health indicators.  We want to assure that each patient is on the path to well controlled diabetes.

3.  Routine Health Maintenance.  We take a very proactive approach to disease management.  Our routine physicals are designed to identify any potential problems, and get them corrected before anything serious occurs.

4.  Patient Satisfaction Surveys.  Twice per year, we assess the satisfaction of our patients by having them fill out surveys when they visit our practice.  We take these surveys very seriously and use them to improve on our services to patients and our internal operations.

Care Coordination

Disease management is a program designed to help unite health care providers with their patients in order to provide more personalized and successful management of chronic diseases.  The program is completely elective and is provided to the patient free of cost.

A patient enrolled in this program will be paired with a Care Coordinator.  The Care Coordinator will work one-on-one with the patient to help identifiy obstacles and goals in the patient's disease management process.  The Coordinator will be in contact with the patient's primary care provider, any specialists the patient sees and any family members the patient feels important to involve in their disease management.  When all providers and specialists work as a medical team the patient receives more inclusive and efficient care.

Managing a disease can be overwhelming to a person, but it doesn't have to be.  Your care providers at France Avenue Family Physicians are dedicated to providing you with the best medical care available and offering the patients the individual support they deserve.

This program is open to any patient who is excited and determined to make a difference in his or her quality of life through disease management.  For more information please contact your health care provider.

MTM (Medication Therapy Management)

FAFP offers patients Medication Therapy Management (MTM). MTM allows patients to meet with a specially trained pharmacist to review all the medications that a patient is currently taking (prescribed, over-the-counter, and herbals/supplements) to ensure that they are:

  1. Indicated - Is this medicine necessary or is there another medicine they should be taking?
  2. Effective - Is this medicine working to meet the patient's health goals?
  3. Safe - Is this medicine causing any side effects or interacting with other medicines?
  4. Convenient - Is the patient able to afford the medicines and take them as prescribed?

Your physician can help you decide if this service is right for you.

Laboratory Results

TSH

Thyroid Stimulating Hormone


A test for thyroid-stimulating hormone is done to:

  • Find out whether the thyroid gland is working properly.
  • Find the cause of an underactive thyroid gland.
  • Keep track of treatment results for people with hyperthyroidism or hypothyroidism

Hypothyroidism:  An underactive thyroid gland.  Symptoms include weight gain, tiredness, constipation,  and a feeling of being too cold.

Hyperthyroidism:  An overactive thyroid gland.  Symptoms include weight loss, rapid heart rate, nervousness, diarrhea, a feeling of being too hot, and irregular menstrual periods.

A normal thyroid range is 0.350  - 5.500 uIU/mL.

Lipid Panel (HDL, LDL, VLDL, Triglycerides, Total Cholesterol)

This test measures your total cholesterol, triglycerides, HDL (good), and LDL (bad).  Your lipids are an important risk factor for heart disease. 

Cholesterol is made up of 3 main components:  LDL ("bad" cholesterol), HDL ("good" cholesterol), and triglycerides.  LDL is the main cholesterol carrier.  It forms plaques in arteries which block blood flow to the heart, brain, and the rest of the body.  HDL moves cholesterol from arteries to the liver for metabolism.  A high level of LDL corresponds to a higher risk of coronary artery disease.  Similarly, a high level of HDL corresponds to a lowerrisk of coronary artery disease.

Total Cholesterol - Normal Range 100 - 199 mg/dL

 

HDL(High Density Lipoprotein) - Normal Range 40 - 59 mg/dL

 

LDL (Low Density Lipoprotein) - Normal Range 0 - 99 mg/dL

 

**** Your provider may like you to maintain an LDL that is significantly lower than 99, particularly if you have other health concerns.  Regardless of the stated "Normal" ranges, your provider will establish numbers that are right for you.

 

VLDL (Very Low Density Lipoprotein) - Normal Range 5 - 40 mg/dL Triglycerides - Normal Range 0 - 149 mg/dL

HBA1C

Hemoglobin A1C, glycated hemoglobin, or glycohemoglobin

This test provides an average of your blood glucose control over a six to 12 week period.  It is a very important tool in determining the control of your diabetes.  It is used in conjunction with your home blood glucose monitoring to make sure your diabetes medicines are working effectively.

It is extremely important that your HBA1C level remains less than 6.5%.  The higher the hemoglobin A1C, the higher the risks of developing complications related to diabetes.

For a person without diabetes, the normal range is 4% - 6%.

AST

Aspartate aminotransferase or Serum glutamic-oxaloacetic transaminase (SGOT).

An AST test is done to measure the amounts of the AST ensyme in your blood.  Elevated AST ensymes, while not specific for liver disease,  can aid in the diagnosing and monitoring of the course of liver disease. 

Your provider will test your AST level, for instance, if you are taking a long-term medication that can affect your liver cells.

The normal range for AST is 10 - 34 IU/L.

PSA

Prostate Specific Antigen

Prostate Specific Antigen is a protein that is found in measurable amounts in the bloodstream.  The quantity of PSA in the blood tends to correlate with the size of the prostate.  An enlarged prostate sometimes indicates a prostate problem.  It is possible to have a normal PSA result and still have a prostate problem.  Even an increase in PSA level that is still in the normal range can be an indication that their is a problem.  Your health care provider will discuss your results with you.

A normal PSA level is 0.0 - 4.0 ng/mL

Glucose

Glucose measures the amount of sugar in your blood.  Glucose is the primary energy source in your body.  Insulin ( a natural hormone produced by the pancreas) controls how glucose is used in your body.  If the pancreas isn't producing enough insulin, the levels of glucose in your blood with rise.  High glocose levels can lead to kidney, eye, heart and nervous system diseases.  It can be an indication of diabetes or other glucose metabolism disorders.

The normal glucose range is 65 - 99 mg/dL

Blood Urea Nitrogen - BUN

This test measures the amount of urea nitrogen and creatinine in the blood.  The kidneys filter these products from your system, so this test is a tool to measure your kidney function.

The normal range is 5 - 26 mg/dL.

Creatinine

Creatinine combines with phosphate to produce creatine phosphate.  Creatine phosphate is used by skeletal muscle for contraction.  The kidneys filter this from your system.  This test is used to measure kidney function.

The normal range is .5 - 1.5 mg/dL.

ALT

Alanine transaminase or Serum glutamate pyruvate transaminase (SGPT).

This test is used to determine if you have liver damage.  The enzyme is found in the liver and heart and is released into the blood stream when either of these organs is damaged. 

The normal range is 0 - 55 Iu/L.

Potassium

The proper level of potassium is essential for normal cell function.  An abnormal increase or decrease of potassuim can profoundly affect the nervous system and heart.  In extreme cases, it can be fatal.

The normal range is 3.5 - 5.5 mmol/L.

Calcium

Calcium is a blood test to measure the amount of calcium in the blood.  Calcium is important for blood clotting, nerve and muscle function, and cell reproduction activity.  Calcium is measured to screen for or monitor bone diseases or diseases of the parathyroid gland or kidneys.

the normal range is 8.5 10.6 mg/dL.

Uric Acid

Uric Acid is made int he liver and excreted in the kidneys.  Thsi test is used to diagnose gout (a type of arthritis) and other kidney disorders.

The normal range is 2.4 - 8.2 mg/dL