We realize that our patients' time is valuable, and we make every effort to see patients at their scheduled appointment time. We ask that patients provide as much advance notice as possible when running late for an appointment or when cancelling. With this advance notice of cancellation, the time can be scheduled for another patient.
Insurance and Payment Information
We are a provider for Medicare and most major insurance plans. We encourage all patients to confirm their coverage prior to making an appointment.
Charges for services are what we determine to be usual and customary fees for the professional services provided. We will be happy to provide all necessary information for any insurance claims related to treatment or surgery rendered in our office and/or surgical facility. However, due to the many varieties of insurance plans available, we have no way of determining what the insurance plan coverage will be in each individual case. There is a wide variation between insurance companies concerning benefit fees. We will verify your coverage, however the information the carrier provides us with is NOT our responsibility. YOU should contact your carrier since the agreement is between you and your carrier. Any charges not covered by your insurance will be your responsibility. Also, be advised that any claims not paid and/or denied by your insurance company within 60 days will become your responsibility. ALL INSURANCE INFORMATION MUST BE ACCURATE AND UP-TO-DATE. THIS IS YOUR RESPONSIBILITY. YOU WILL BE BILLED FOR SERVICES IF THE INFORMATION IS INCORRECT. IF YOU CHANGE CARRIERS, YOU MUST NOTIFY OUR OFFICE.
The federal government has informed us that we can be prosecuted for not charging and collecting the co-payment, therefore the co-payment will be collected before each office visit for HMO's and PPO's. Deductibles, if applicable, must also be paid before services are rendered.
Insurance companies may require pre-certification, pre-determination, or second opinion. X-rays or other necessary records will be provided for your convenience, however, 3-5 days notice is required for duplication. NO ORIGINAL X-RAYS are released to patients. NO EXCEPTIONS.
What to Bring to Your Appointment
If you are a first-time patient, please plan on arriving early to complete a patient registration form. Please bring the following items to the appointment:
- Insurance card(s)
- Referral forms (if required)
- List of all prescription and over-the-counter medications that you are currently taking
- Any required co-payment
- Pertinent medical and surgical history information
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
|Insurance and Payment Information|
|What to Bring|