Policies and Practices

• Notice of Privacy Practices
• Patient Rights and Responsibilities
• Financial Policy
• Surprise Billing — Know Your Rights and Protections Against Surprise Medical Bills

FINANCIAL POLICY

To help provide the most efficient and reasonable health care services, it is necessary for us to have a Financial Policy stating our requirements for payment of services provided to our patients. Patients are responsible for the payment of all services provided by our facilities and affiliates. It is our policy to file insurance as a courtesy to you, if we have accurate and complete insurance information. The balance due is still your responsibility if we have not received payment from the insurance company within 30 days.

If  you have insurance and we file with your carrier, we ask that you pay ahead of time on the balance which is your responsibility according to your plan (i.e. any deductible, co-pay, co-insurance amounts). Since we are not party to the agreement between you and your insurance company, we ask that you assist us in contacting them in the event that services are not paid within 30 days.
For patients with private insurance as your primary or secondary carrier we can only provide you with an estimate of the costs of services. We obtain this information by contacting the insurance carrier and referencing our contracts with your carrier. The outstanding balance on your deductible is only an estimate. If a refund is due after payment is received, it will be issued to you in the form of a check via USPS.

For workers’ compensation claims, it is our policy to bill your employer or the workers’ compensation carrier for services rendered. If you are covered, we will accept the payment made by workers’ compensation as payment in full. If workers’ compensation denies payment or goes into litigation, the entire balance will become your responsibility and will be due within 10 days from the date of the denial. It is your responsibility to contact us with the name and address of your employer or the insurance company at the time the appointment is made and to provide the office with a copy of your Notice of Compensation Payable Letter from workers’ compensation. All insurance is verified prior to the patient’s initial visit.

If you do not have insurance and are not covered by either Medicare or Medicaid, you will be considered a “SELF PAY” patient Payment is due in full at the time of service.
Patient “no shows” and cancellations are a tremendous loss for a practice. Please help our office reduce those losses by cancelling within 24 hours if you cannot keep your appointment. Failure to give notice 24 hours prior to your appointment will result in a $50 fee to be paid by the patient.