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Office: Billing and Insurance

Here are links to web sites of insurance companies where our practice is a participating provider.

Payment is required at the time services are provided unless other arrangements have been made in advance.

We participate in many insurance plans. We recommend that you become familiar with your insurance benefits- including eligibility, covered benefits, co-insurance and deductibles. Most misunderstandings about insurance can be avoided if you understand what your policy covers. Please contact your insurance company with any questions you may have regarding your coverage. You are responsible for deductibles, co-pays, co-insurance, non-covered services, and items considered “not medically necessary” by your insurance company.

As a courtesy to our patients, our office will file claims on your behalf. Please be advised that, excluding Medicare, we do not file secondary insurance. You will be asked to present a current insurance card at every visit. If your insurance cannot be verified, payment for services is expected in full at the time of the visit. Please inform us of any changes to your address, contact information, insurance, or responsible party. Inaccurate demographic and insurance information may result in denial of your insurance claims. Your insurance may require additional information from you in order to process the claim. Failure to comply with their request within 30 days will result in full patient responsibility for the claim.

Please make sure that our physicians participate in your specific insurance plan. You can verify this by either checking your insurance plan provider directory or by calling your carrier directly.

Similarly, if we need to refer you to a specialist, please refer to your insurance plan listing of participating providers to ensure that the specialist is in your plan network prior to making an appointment.

Pursuant to our participation with your insurance plan, we are required to collect co-pays, deductibles, and co-insurance at the time of service. For minor patients, payment will be collected and is expected from the parent/ guardian present at the visit. We accept cash, checks, debit cards, Mastercard, Visa, and Discover. We accept American Express for charges greater than $50.

Outstanding patient/guarantor account balances will be e-mailed unless otherwise specified. Payment for outstanding account balances or arrangement of a payment plan is expected within 30 days of the statement billing date. Accounts more than 60 days past due will be assessed an administrative fee of $25 and forwarded to a collection agency. Should your account become delinquent, you will be responsible for any and all legal fees, court costs, and collection fees involved as a result of any collection activity.

Returned checks will incur a fee of $35. If more than one returned check is received on your account, we will require all future payments to be made by cash, cashier’s check, or credit card.

All requests for summary statements require 2 business days to complete. There is a $10 fee per family account per year. Please note that if you would like the statement faxed to you, you must provide written authorization per HIPAA.

We understand that many patients have insurance plans with high deductibles or may lose coverage for a number of reasons. If, at any time, medical care becomes a financial difficulty please let us know. We are always willing to help you with payment plans or other arrangements.

 

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