Mercer-Bucks Orthopedics
Mercer-Bucks Orthopedics

Billing Policies

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 will be considered self pay until you are able to provide insurance information. 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.

Filing Claims

If we are a participating provider for your insurance we will file your claim for you. When your insurance processes the claim, we will adjust your account according to the Explanation of Benefits (EOB). Your EOB will explain the charged amount, adjusted amount according to contract, the amount the provider was paid and the amount the patient is responsible for. If you disagree with your EOB, please contact your insurance carrier prior to calling the office.

Patient's Financial Responsibility

Please note that you will be responsible for any co-payment, coinsurance or deductible amounts as set forth by your insurance company. Please consult your plan documents to learn more about your financial responsibility. Your co-payments are due at the time of services. For scheduled surgeries, our office may ask for a deposit towards any anticipated patient responsibility amount. Any additional coinsurances, deductibles or non-covered services not collected prior to your service will be billed to you.

Payment for Surgery

Prior to your scheduled surgery, our office may contact you for a surgical deposit to be applied towards your out of pocket cost. The collected amount is a deposit based on the information available from your insurance carrier. Any additional amounts charged by your insurance carrier will be billed to you.

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.

Collection Fee

If your account is sent to a collection agency or attorney there would be $50.00 fee or 35% of balance whichever is greater to cover the associated recovery costs.

Payment Methods

We accept cash, personal checks, MasterCard, Visa, Discover and American Express. There will be a $35 charge for any and all returned checks.