It is our hope that you will understand that our financial and billing policies are necessary to maintain vital health care services to our patients.  The following are our current financial policies.

Insurance

We participate in most major insurance plans.  We will bill all primary and secondary insurances for our services.  Please provide us with complete and accurate information, as well as any change of address, telephone number or change of insurance.  We will ask you to provide us with a copy of your insurance card and will have you update your information annually.  It is the patient's responsibility to have a referral in place before a visit.  It is also the patient's responsibility to know which laboratory and radiology facilities are on his insurance plan.

Co-payments and deductibles

Your insurance coverage is a contract between you and your insurance carrier.  You are still responsible for payment of your account.  Copayments must be paid at the time of your visit. All insurance companies require that the physician collect all co-pays and deductibles from the patient. 

Medicare

We are a Medicare participating office.  We will file your Medicare claims.  We will also file your Medicare secondary insurance claims if you provide us with the necessary information and aurthorization.

Non-Insured

Payment is due at the time of the service.  If it is necessary to establish payment arrangements please contact our billing office prior to your visit to discuss your options.

Auto Accidents, Personal Injury and Workers Compensation

A liability action against someone else is not a reason for delaying payment of your bill. Payment of the bill is the responsibility of the person receiving treatment, not the person who may or may not be liable.  For these reasons, and because lawsuits are often protracted (3 to 5 years), we ask that our bill be paid promptly.  We will furnish your attorney or workers compensation carrier with your medical record provided a signed release accompanies your request. In order to accept workers compensation insurance, the patient must bring a written acceptance of financial responsibility from his/her employer or compensation carrier. This must be made available to the practice prior to the first appointment.   However, the patient is still responsible for the bill if the insurance carrier does not pay within 60 days. We require of a copy of your private medical insurance information as well as the above mentioned liability information.

Statements

Statements are issued monthly to the address you have provided. In the event that payment is not received from you within 30 days, a second "past due statement" will be mailed.  If we still do not have payment within 30 more days, we will make every effort to notify you that the account is being referred to a collection agency.

Completion of Forms

There is a thirty dollar ($30.00)  fee for completion of forms for Disability, FMLA forms, Leave of Absence, Jury Duty, airline ticket or travel and /or any requested correspondence that is not associated with reimbursement of a claim.  It is to be paid for prior to the completion of the form or letter

Returned Checks

A fee of thirty dollars ($30.00) will be charged for checks returned for non payment.

Missed Appointments

A fifty dollar ($50.00) fee will be charged for a missed appointment without 2 business days notice of cancellation.

A two hundred and fifty dollar ($250.00) fee will be charged for any surgery cancelled without 5 business days notice.

  If you have any questions or need clarification of any of the above policies, please do not hestiate to speak with someone in our billing department 203.248.8049