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- We will review your insurance card at each visit. Any coverage changes must be made at the time of service.
- As a courtesy to you, insurance forms for services rendered will be completed by our office with your primary and secondary insurance carriers. Whatever amount is remaining after insurance processing is your responsibility. If we are not contracted with your secondary insurance company, whatever amount they do not pay or cover is your responsibility.
- We strongly encourage you to contact your insurance carrier if you have not received an explanation of benefits within 45 days of your service date.
- For those patients who are members of an HMO or POS insurance plan, it is the patient's responsibility to get a current authorization from their primary care physician prior to your appointment with our physicians. If you have no authorization, you will be responsible for the entire visit charges at the time of service.
- The responsibility for payment for services rendered to any dependant children whose parents are legally separated or divorced, rests with the parent who seeks treatment. Any court ordered responsility judgement must be determined between the individuals involved without the inclusion of our office.
- In the event your health insurance plan determines a service to be 'not covered'; you will be responsible for the charges.
- If you are scheduled for surgery, we will contact your insurance company to determine if a pre-certification is required. We will also inquire about your benefits and any deductible or co-insurance amounts you could be responsible for. You should also contact your insurance company to verifiy your coverage and benefits. Any deductible amounts will be collected prior to surgery.
- If you are scheduled for an additional procedure (CT Scan, MRI, Sleep Study) by our office with another provider or facility, you are expected to contact your insurance carrier prior to your appointment for that procedure. We will call to see if you need pre-certificataion, but do not inquire how the procedure will be covered under your plan. It is your responsiblity to find out if you should be scheduled with a different facility to maximize your benefits.
- We will mail a statement of account to the address you have provided once we receive payment / processing from your insurance carrier. In the event that payment is not received form you within 30 days , another statement will be sent. After the fourth statement cycle and no payment is received, we will make every effort to notify you that the outstanding balance is being turned over to an outside collection agency and will i,pact your credit rating. If you do not receive a statement from us within 45 dyas of your visit and your EOB from your insurance carrier shows you have a balance, please contact our office to verify we have your correct address. We are not responsible for accounts turned over to collections due to an incorrect address.
- If you move or your phone number changes, it is your responsibility to contact our office to notify us of these changes. We are not responsible for you not receiving a statement due to a change in address.
- There is a charge of $25 in the event of a returned check for insufficent funds. This fee and the original check amount must be paid within 10 business days after we receive notification from our bank. This payment must be in cash, money order, certified check or credit card. A personal check will not be accepted and the original check will not be redeposited once it returns from you banck as NSF.
- There is a charge of $25 for any missed appointment or cancellation without 24 hours prior notification.
- There is a charge of $25 for any call back from a physician after-hours that is NOT an emergency (i.e. prescription refill, general questions or questions not related to ear, nose and throat issues).
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