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The variation of fees charged for office visits, consultations, surgeries and assistant surgery fees are reflective of many factors. Because of the factors involved, it is difficult to predict ahead of time what the actual charge will be. When the patient has been seen, the fee will be assessed and the appropriate charges billed. You will be asked to supply us with the appropriate billing information and we will make copies of your insurance information. We accept cash payments and checks, as well as MasterCard/Visa. Our billing staff will be happy to assist with questions about claims submission and reimbursement issues. They can be contacted through our main telephone number at (757) 215-1400, Monday through Friday from 9:00 a.m. to 5:00 p.m.
INSURANCE BILLING: Participation/Non-Participation - As a courtesy to you, our Billing Department submits the claims to the insurance companies. We do participate with many insurance companies; however, to be certain we participate with your plan, please contact your insurance carrier. If we participate with your carrier and co-payments apply - - you are responsible for those co- payments at the time of service. If there is a balance due because of deductibles and co-insurance, you will receive a statement from our office. Our office will submit your claim to your insurance company and you will receive a monthly statement until the services are paid in full.
LITIGATION CASES: We can bill your regular health insurance plan for cases involving litigation and we will gladly provide you with a list of charges for the visits. It is our policy; however, not to get involved in any billing arrangements for such cases.
WORKER’S COMPENSATION: Please make sure that you notify the Front Desk Receptionist if your illness/injury is work related. We will need the exact date of injury, name, address and telephone number of your employer, as well as the workmen’s compensation insurance company.
NO FAULT: Please make sure that you notify the Front Desk Receptionist if your illness/injury is related to a motor vehicle accident. We require the name, address and telephone number of the automobile insurance carrier, as well as the policyholder of the vehicle you were in at the time of the accident.
FOR ALL WORKERS COMPENSATION AND NO FAULT cases you must provide us with your regular health insurance information and a referral, if necessary. In the event your claim is denied as a work related or motor vehicle accident, we will then bill your regular health insurance plan. If you do not have other health insurance, you will be responsible for the charges.
SELF-PAY – All self-pay patients are required to make a $100.00 partial payment prior to seeing the provider. When checking in at the Front Desk, self-pay patients will be referred to our Billing Department for assistance in establishing a payment plan. Please keep in mind; your appointment will be rescheduled should you arrive without the partial payment.
HOSPITALIZATION - Should you require hospitalization, our staff will assist in making the necessary arrangements. If your insurance requires pre-certification or a second surgical opinion, please alert our staff to ensure that your insurance requirements are met.
Certain surgical procedures require a surgical assistant. Most often, your physician will use the services of our physician extender – a physician assistant. Many insurance plans vary in how they cover the surgical services of a physician extender. We urge you to contact the insurance company for clarification on payment, before surgery. This will prevent confusion should you receive an invoice from our office after surgery.
MEDICAL RECORD RELEASE – Copies of medical records, including x-rays, will be provided upon request. A release of information form must accompany any such request. In some instances there will be a fee for this service, which will be quoted at the time of the request. Please remember, we are only able to release information that was generated from visits with our providers.
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