We know that choosing a physician is a very important decision and we thank you for choosing our office. Please carefully read this overview of some of our financial policies.
To ensure quality and accurate care, it is important that our patients understand our care policies. All of our patients, current and new, are required to review and complete acknowledgement of these policies as well as the Health Insurance Portability and Accountability Act (HIPAA) required by the Department of Health and Human Services.
Information Regarding Insurance Coverage
You must be informed of and understand the details of your health insurance coverage and fulfill any associated requirements (pre-certification, obtaining referrals, providing information regarding pre-existing conditions, etc).
It is also your responsibility to provide our office with all required information regarding your health insurance coverage. It is important that you promptly notify us if there are any changes to your insurance information.
If any complications arise during the billing process, you have an obligation to promptly provide assistance and information to our billing staff and if you fail to timely provide any information or assistance then we have the right to not submit the claim to your insurance company and you will be fully responsible for the balance.
If you do not have current health insurance coverage, the entire payment for any services performed shall be paid at the time of service.
Non-Participating Provider or Non-Covered Benefits
If we do not participate with your health insurance carrier, or if the services provided are not covered under your particular health plan, then you are responsible for paying for all services at the time of service. If you would like us to do so, we can (upon your request and full payment) provide a statement for your records and/or reimbursement purposes.
Participating Provider and Covered Benefits
If we participate with your health insurance carrier and the services sought are covered services we will directly bill your health insurance carrier. Under your plan, you may be responsible for paying certain amounts (co-payments, deductibles, and fees for non covered services), which are due at the time of service.
Types of Payment
OUR OFFICE ACCEPTS CASH, CHECKS, VISA, MASTERCARD, DISCOVER, AND AMERICAN EXPRESS. If your check is dishonored you will be required to pay an additional fee of $35.00, which shall be due and owing immediately.
Collection of Outstanding Balances
All outstanding balances shall be due within 30 days. All past due balances are due in their entirety prior to or at the time of your visit. Balances that are 30+ days old will be assessed a finance charge that will accrue monthly until paid.
Balances that remain outstanding for a period of 90 days or more may be referred to a collection agency or attorney’s office. If your account is referred to a collection agency, you will be responsible for paying a collection charge equal to 40% of your outstanding balance, which is in addition to your outstanding balance.
If your account is referred to an outside attorney, you will be responsible for paying all reasonable attorneys’ fees and court costs, which are in addition to your outstanding balance. To avoid all of this please pay your bill in a timely manner it is as simple as that.
It is important that you appear for all scheduled appointments. As a courtesy, we usually call to confirm your appointment a day or two before the scheduled appointment. If speaking to you is not possible for any reason, we will attempt to leave a reminder message with a family member or on a voicemail.
Failure to cancel your appointment within 24 hours deprives other patients of an opportunity to visit our office. A fee of $25 may be charged if you fail to appear for scheduled appointments.
This policy is aimed at minimizing the waiting time and ensuring availability of prompt medical care. We recognize that there may be circumstances, which may not permit you to gives 24 hour notice and such circumstance are exceptional and shall be considered on a case-by-case basis.