Payment at Time of Service
We require a copy of your current insurance card at the time of your visit. If you are unable to present your card before seeing the doctor, the visit may be considered fee for services, and full payment may be collected. If you are an established patient, please verify all information and notify us of any changes.
Verification of Benefits
As a rule, we try to verify all benefits prior to your appointment, but in some cases this is not possible. It is ultimately your responsibility to make sure we are an approved provider, know what your benefits are, that you have insurance and have supplied us with valid insurance information. When required it is the responsibility of the patient to obtain all needed insurance referrals. In the event your insurance claim is denied you will be responsible for the services rendered.
If we are a participating provider for your insurance we will file your claim for you. When your insurance processes the claim, we will make the appropriate adjustments.
Patient's Financial Responsibility
Please note that you will be responsible for any copayment, coinsurance or deductible amounts as set forth by your insurance company. Your copayments are due at the time of services. Any coinsurances, deductibles or non-covered services per your benefit plan will be billed to you.
Payment for Surgery
If you do not have insurance, an estimated payment for surgery will be collected prior to your procedure as the doctor cannot collect a payment at the time of service. Our billing department staff will provide you specific details and will work with you to coordinate all necessary payments.
Filling Out Forms
We charge a $35.00 fee for filling out FMLA, Disability or any other forms. Please allow 5 business days for the completion of forms. Some employers will reimburse you for this charge.
If your account is sent to a collection agency or attorney there would be $50.00 fee or 35% of balance whichever is greater.
We accept cash, personal checks, MasterCard, Visa, Discover and American Express. There will be a $30 charge for any and all returned checks.