Your insurance coverage is a contract between you and the insurance company, and it is your responsibility to know your insurance benefits. As a courtesy, we will bill both your primary and secondary insurance companies. We will submit your claims and assist you in any way we reasonably can to help get your claims processed. In order to do this, we must receive all the information necessary to bill. If the information is not supplied, you will be billed, and payment in full will be your responsibility and will be expected within 30 days of receipt of statement.
We participate in the Medicare program. You are responsible for your co-insurance, any deductibles that have not yet been met, and services that are identified as patient responsibility on your Medicare Explanation of Benefits. We strive to inform our Medicare patients of services that will not be covered. We may ask you to sign an Advanced Beneficiary Notice, which lists our fees and notifies you of your financial responsibility for certain medical services. Managed Care: Many patients are enrolled in Managed Care Products. In order for us to obtain referrals and/or pre-authorizations for procedures, it is important that we have your current insurance information. Depending on individual policies, your procedure may not be a covered benefit. It is your responsibility to check for optimal coverage and policy limitations, and to obtain referrals as required by your insurance company. Please contact your insurance company with questions regarding your coverage.
Patient Responsibility for Payment
You are responsible for payment of any co-payment, co-insurance, deductible or service not covered by your insurance, handling, collection or attorney fees. If you do not have insurance, you are responsible for payment of all services. Co-payments are due at the time of your service. Patient due balances noted on your monthly statement are due within 30 days of receipt. Charges for minor children will be billed to the parent with whom the child resides. We will bill appropriate insurance if all required information is provided. We will not bill or contact a non-custodial parent on behalf of the custodial parent. If insurance payment results in a credit balance, it will be refunded to you within 30 days.
We understand that financial circumstances vary from patient to patient. If you are unable to pay your patient due balance in full, you must call our business office at (916) 739-1505 to make payment arrangements. Non-Payment: Failure to pay will result in your account being referred to a collection agency, which may affect your credit. You must contact our billing office to discuss payment arrangements. NSF checks will result in a $25 processing fee.
No Show & Cancellation Policy
We require notification of cancellation for your appointment at least one business day in advance. Early notification helps us to fill the vacated slot in a timely manner. If proper notification is not given, this will be considered a No Show. After 3 No Show appointments, dismissal from the practice may be considered.