Copayments

Payment is required at the time services are rendered, unless other arrangements are made in advance.  This includes applicable co-insurances and co-payments for participating companies.  If you do not have your co-payment at the time of your visit, your appointment will be rescheduled.  Our office accepts cash or credit card payments (Discover, Mastercard, or Visa).  We DO NOT accept checks.

Patients with an outstanding balance of 60 days past due must make arrangements to pay their balance with the billing manager prior to scheduling and Well Visit appointments.  Accounts over 90 days past due will be considered seriously delinquent and referred to our collection agency. As of December 1st, 2014, past due bills will accrue a $10.00/month late fee.

We realize that there may be extenuating circumstances.  We are willing to work with you; call the office and ask to speak with the billing manager to make special payment arrangements.

Your insurance card must be presented at EVERY VISIT.  We bill insurance companies as a courtesy to you.  It is your responsibility to notify this office of any insurance changes.

Understand What Your Insurance Plan Covers

Insurance companies are constantly changing what they cover.  Do not assume that because they covered something in the past, that this is still the case.  We can not be responsible for services rendered that your insurance company does not cover.

For example, in the past, insurance companies had a “no co-payment policy” for physical exams.  However, some insurance companies have changed this policy.  Insurance companies allow one physical per year, either every calender year, or every 365 days.  It is your responsibility to know your co-payment policy and guidelines.

Insurance companies have also become more strict in regards to what they consider “routine/preventative” labs.  Before you call our office to ask us to fax lab orders prior to your appointment, you should check with your insurance company first to confirm what is covered.

Transfer of Medical Records

If, for some reason, you request a copy of your medical record to be sent to you or another physician, you will need to complete a medical release form.  (Please refer to the “Forms” section of our website). This will authorize us to transfer your medical record.  A payment of $25 is required prior to receiving your record. Please allow up to 10 business days for the transfer of your medical record.

No Show/Cancellations

No show/cancelled appointments are a cost to us, to you, and to other patients who could have used the time set aside for your appointment.  Please notify us of a cancellation 24 hours in advance of your appointment.  We reserve the right to charge a $25 fee for missed/cancelled appointments, and $50 for missed/cancelled well visits.

There will be an attempt to remind you of your appointment.  However, these reminders are a courtesy.  The responsibility to keep the appointment is YOURS.  Persistent missed appointments may result in discharge from the practice.