Billing and Insurance
Thank you for choosing our practice as your health care provider. We are committed to building a successful physician-patient relationship with you and your family. Your clear understanding of our Patient Financial Policy is important to our professional relationship. Please understand that payment for services is a part of that relationship. It is your responsibility to notify our office of any patient information changes (e.g. address, name, insurance information, etc).
We ask that you do not discuss your account balance or financial aspects with the providers or medical staff. Please discuss any account information and any questions about our fees, our policies, or your responsibilities with the registration staff at the reception desk or with our practice manager.
All deductibles, co-payments and past due balances are due at time of check-in
If you are a self-pay patient, you will be required to pay your balance in full at the time of service. At the time of registration, if you will be unable to pay the balance at the time of service, you may request a financial agreement for alternative payment.
Medical insurance is a contract between you and your insurance company. It is the insurance company that makes the final determination of your eligibility and benefits, and it is your responsibility to know and understand your insurance policy.
If your insurance plan requires a referral, you are responsible for ensuring that a valid referral from your primary care provider is on file prior to the date and time of your visit. If a valid referral is not on file at the time of your visit, you have the option of rescheduling your appointment for in order to obtain a referral authorization, or you may sign a waiver accepting financial responsibility for the fees associated with your visit.
Our office will bill your primary insurance company as a courtesy to you.
In order to properly bill your insurance company we require that you disclose all insurance information to our office, including primary and secondary insurance, as well as any change of insurance information. Failure to provide complete insurance information may result in a denial of payment and you will then assume responsibility for the entire bill.
If your insurance company does not pay for any part of the services performed for you at our office, you will be responsible for the complete balance of the non-payable services. If we are out of network with your insurance company and your insurance pays you directly, you are responsible for payment and agree to forward the payment to us immediately. In special cases, we may need your help in contacting your insurance company for the payment of your services and therefore you must agree to fully cooperate in assisting us should that be necessary.
Many insurance plans require prior authorization for procedures such as skin biopsies, excision, and treatment of warts and molluscum. Therefore, after your initial evaluation, we may ask you to schedule a follow-up appointment for treatment in order to allow our staff the time to obtain the prior authorization. If you wish to proceed with treatment on the same date as the initial evaluation, you will be asked to sign a ‘waiver of liability’ indicating that you accept financial responsibility for any fees associated with the procedure(s) performed.
Insurance plans will not generally pay for the fees associated with removal or treatment of benign skin lesions such as moles, angiomas, seborrheic keratosis, and skin tags. If you wish to have a benign skin lesion removed or treated, you will need to sign a ‘waiver of liability’ indicating that you accept financial responsibility for any fees associated with the procedure(s) performed.
Workers’ Compensation and Automobile Accidents
In the case of a workers’ compensation injury or automobile accident, you must obtain the claim number, phone number, contact person, and name and address of the insurance carrier prior to your visit. If this information is not provided, you will be asked to either reschedule your appointment or pay for your visit at the time of service.
Outstanding Balance Policy
It is our office policy that all past due accounts be sent two statements. If payment is not made on this account, our billing agency will make two phone calls to try to make payment arrangements. If no resolution can be made, the account will be sent to a collection agency and the patient will be dismissed from the practice.
In the event an account is turned over for collections, the person financially responsible for the account will be responsible for all collections costs, including attorney fees and court costs.
Regardless of any personal arrangements that a patient might have outside of our office, if you are over 18 years of age and receiving treatment, you are ultimately responsible for payment of the service. Our office will not bill any other personal party.
The charge for a returned check is $ 50 payable by cash or money order. This will be applied to your account in addition to the insufficient funds amount. You may be placed on a cash-only payment basis following any returned check.