Thank You for choosing our practice. We are committed to providing you with quality and affordable healthcare. Below is information to answer frequently asked questions regarding patient and insurance responsibility for services rendered. Please read it and feel free to contact us with any questions you may have. Thanks so much for being our patient.
Payments are due at the time of service unless payment arrangements have been requested and approved in advance. You are expected to pay according to the arrangement.
Insurance We participate with most insurance plans. We will bill your insurance company for you. Although we may estimate what your insurance company may pay, it is the insurance company that makes the final determination of your eligibility.
Claims Submission We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. You and your insurance benefit is a contract between you and your insurance company.
Referrals If you have an insurance plan with which we are contracted, you may need a referral authorization from your primary care physician/ pediatrician. If we have not received a referral prior to your arrival at the office, we have a telephone for you to use to call your primary care /pediatrician physician to obtain it. If you are unable to obtain the referral at that time, you will be rescheduled.
Co- payments and Deductible All co-payments- Deductible & Co-insurance estimated amounts must be paid at the time of the service. This arrangement is part of your contract with your insurance company. We will balance bill you any remainder due after the claim has processed and we’ve applied your payment.
Proof of Insurance All patients must complete our patient information form before seeing our providers. We must obtain a copy of your driver’s license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim or your appointment may need to be rescheduled until you can provide us with the necessary information.
Coverage Changes If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.
Methods of Payment We accept payment by cash, check, Visa, MasterCard, and Discover.
Patient Statements If you have an unpaid balance, you will receive a statement by mail once a month. The statement amount is due and payable when the statement is issued and past due if not paid upon receipt. Balances over 90 days will be turned over to an attorney or collection agency for collections. All payments made go to the oldest outstanding balance.
No Show Fee Please cancel/reschedule your visits with 24 hours notice. At our discretion, a fee equal to the cost of your office visit may be charged. Patients who no show three times will be discharged from the practice.