If you have…
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You Are Responsible For:
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Our Staff Will:
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Commercial Insurance
Also known as indemnity,
“regular” insurance
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Payment of the patient responsibility for all office visits, x-ray, injections,
and other charges at the time of office visit.
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Call your insurance company ahead of time to determine
deductibles and coinsurance. File an insurance claim as a
courtesy to you.
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HMO & PPO plans with which
we have a contract
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If the services you receive are covered by the plan: All applicable
copays and deductibles are requested at the time of the office visit. If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit.
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Call your insurance company ahead of time to determine
copays, deductibles, and non-covered services for you & file an insurance claim on your behalf
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HMO with which we are not contracted
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Payment in full for office visits, x-ray, injections, and other charges at
the time of office visit.
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Provide the necessary information for you to complete and
file your claim directly with the insurance company
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Point of Service Plan or Out Of Network PPO
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Payment of the patient responsibility – deductible, copay, noncovered services – at the time of the visit.
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Call your insurance company ahead of time to determine out of network benefits, copays, deductibles, and noncovered services & file an insurance claim on your behalf
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Medicare
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Any services not covered by Medicare are requested at the time of
the visit.
If you have Regular Medicare as primary, and also have secondary
insurance or Medigap:
No payment is necessary at the time of visit
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File the claim on your behalf, as well as any claims to your
secondary insurance.
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Office Appointment No Show
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Letting us know 24 hours in advance if you can’t make an office
appointment. Paying a $35 administrative fee if you aren’t able to
cancel 24 hours in advance.
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Confirm your appointment 1-2 days in advance of your appointment.
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Procedure/Surgery
Scheduling
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We have a $100 deposit which is applicable to your deductible/coinsurance. It is non-refundable if you reschedule (more than once) or cancels less than 48 hours in advance.
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Our staff will handle all your insurance authorization and
questions. They will also coordinate with the surgery center
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No insurance
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Payment in full at the time of the visit.
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Work with you to settle your account. Please ask to speak
with our staff, if you need assistance.
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