Billing and Insurance
Our office accepts Medicare assignment. After Medicare payments are received, claims are automatically filed with secondary carriers. The patient will receive a bill only if a balance is due after insurance payments are received and processed.
Our office accepts most commercial insurances. Please call your insurance company to verify that the physician you see is in your network. Insurance claims are filed on a monthly basis. After payment from the insurance company is received, the patient will be billed. We request that you pay the balance within 30 days.
Secondary Insurance Coverage
We will file claims with a secondary insurance carrier if insurance information has been provided to our office. After secondary insurance responds, the patient will be asked to pay any balance with 30 days. Itemized statements will be furnished upon request.
If the patient has health insurance coverage through an HMO in which our doctors participate, it is the patient’s responsibility to obtain any necessary referral prior to the office visit. Patients may be asked to reschedule an appointment if a valid referral is not provided. Your co-pay will be collected at the time of service.
If a patient sustains an injury at work, an injury report must be filed with the employer. At the initial visit, the patient will be asked to provide both worker’s compensation and regular health insurance information (with valid referral, if applicable) in the event the claim is denied. Claims will be filed directly with the Worker’s Compensation carrier if we are provided with this information. Otherwise, monthly statements will be sent to the employer.
Fees for professional services are based on our own experience and not on payment schedules promoted by insurance companies as usual and customary, average, median, etc., except for prepaid plans with which we have contracted. In many cases the entire fee will be paid by an insurance company while in other cases an insurance company will pay only a portion of the fee. We will furnish a reasonable number of medical and disability insurance reports to expedite your medical claims. It is customary to pay for services when rendered unless other advance arrangements have been made.
Motor Vehicle Accidents & Liability Cases
Patients assume responsibility for payment in full. A form for this purpose must be signed at the time of the initial visit. Please provide complete insurance information, if any, for billing purposes. We do not get involved in litigation cases. Therefore, the patient is expected to keep their balance current by making monthly payments. If legal counsel is retained, we will comply with attorney requests for reports or services, provided that fees for the requested information or services are paid in advance.
Past Due Bills
Balances not paid within 90 days from the date of service will be referred to our attorney or an agency for collection. The account will also be listed with local and national credit bureaus. The patient will be responsible for attorney’s fees, collection expenses and interest. Payment arrangements for larger balances must be made with our Collection Department.
Refunds are issued to the appropriate party. Patient refunds will not be processed until all active or past due charges are paid in full. Refunds of less than $6 will not be issued.