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Disagreement with our charges and reimbursement from insurance companies will occasionally surface. Our charges are established to meet the financial needs of the medical center. Normally prices for procedures and tests are adjusted annually. Supply charges are related to the cost to purchase the item. Drugs are based on average wholesale prices. When disputes arise with reimbursement from your insurance company we will often appeal their decision directly with the insurance company. However, often these disputes can be resolved more effectively when you contact the insurance company directly. We will be happy to assist you in appealing your claim with your insurance company. Please contact our Billing Support Department for assistance at 302-744-7081 or the toll free number 877- 744-7081.