Financial Policies
Fees and Payments
Our fees are based upon the reasonable and customary charges prevailing in this area, and take into account the complexity of a particular problem. Payments for office visits and services such as x-rays, injections, casts, braces and splints are expected at the time of your appointment. You may pay with cash, check, or any major credit card. We will collect these fees at the time of registration, prior to seeing the physician.
If you are a self-pay patient (if you plan to pay without the use of insurance) or if you do not have your insurance card at the time of registration, we will require a minimum fee of $200.00 towards your anticipated services. Additional fees may be assessed at the time of check-out.
For planned surgery, we will contact your insurance company to verify your benefits and any co-insurance amounts you will owe. A pre-surgical deposit may be required based on these benefits or the patient’s insurance status.
In addition, we will assist you in seeing if you qualify for a payment plan with Care Credit. Care Credit is a program that if you qualify, will assist you in paying for your healthcare needs. They will make the payment for your services and then set up a monthly payment schedule.
Insurance Policies
Even though we participate in many health insurance companies, they may only pay part of the physician’s fee and service. Certain insurance companies may not reimburse you for soft goods or durable medical equipment (DME) items such as braces or splints. The extent of your benefits is determined by your policy. Please keep in mind that services have been rendered to you, the patient, and not the insurance company. You are ultimately responsible for any outstanding balance on your account. We allow thirty (30) days for submission and processing of insurance claims.
We will be glad to assist you with questions regarding claims with your insurance company. An account balance outstanding more than thirty (30) days is considered delinquent. If unresolved after sixty (60) days, delinquent balances will incur a $25 collection fee and may be turned over to our accounts resolution department for collection. The patient is responsible for any deductible and co-insurance balance.
Workers’ Compensation
Your employer must authorize all workers’ compensation claims. When you arrive for your appointment your will need to be prepared to present:
- Worker’s compensation claim number
- Date of the injury
- Necessary claim forms
- Identifying information of the employer, supervisor and insurance carrier
If a workers’ compensation carrier denies a claim, you will be responsible for charges incurred as a result of the claim. If you have any questions please speak with our Workers’ Compensation Coordinator at (703) 483-4674.