Insurance Card and I.D.
Upon your visit, we will need a copy of your insurance card and photo ID at this visit. Please be prepared to show us your insurance information at this time. If you do not have your insurance card with you at the time of the appointment, please have your identification number, group number and the address and phone number that we can contact your insurance carrier. If you do not have any of this information, we may need to reschedule your appointment.
If your insurance plans requires a co-payment be prepared to pay it at registration time. If you cannot pay your co-pay we will reschedule your appointment to another time when you will be able to make the co-payment or if you request we bill you we will charge a $20.00 billing fee.
Balances Not Covered by Insurance
Balances that are not covered by insurance are due within 30 days of the initial billing unless satisfactory arrangements have been made with our billing office: payment plans are available if necessary. Delinquent accounts will be considered for an independent collection agency or small claims court, in which case you will assume the full responsibility for collection costs, including any attorney and/or court fees. There will also be a $75.00 processing fee on all accounts sent to collections.
If your insurance plan requires a referral to be seen by a specialist it is your responsibility to obtain that from you Primary Care Physician. Should no referral be on record at time of your visit you will be asked to sign a referral waiver if you want to still see the doctor. By signing this you will be accepting responsibility for all charges not paid by your insurance for lack of prior authorization.