I noticed on the online provider directory that some providers have a yellow circle or a red square. What do the symbols mean?
If a provider has a yellow circle on the directory, it means the doctor MAY bill for services as outpatient services; subject to the deductible and co-insurance. If the provider has a red square, services WILL be billed as outpatient services; subject to the deductible and coinsurance. If the services are provided by a facility that is hospital owned, the covered member should inquire as to whether or not the deductible and coinsurance will apply to the visit. For example, although Duke University Health Care has primary care providers, services may actually be billed as outpatient visits; subject to the deductible and coinsurance. On the other hand, the majority of UNC Health Care System physicians are also primary care providers, but services billed are only subject to the copay. There are exceptions to how services are billed. This is just one example. When making provider selections, be sure to visit the on-line directory. Click on the yellow circle or red square for details on how
