The objective of this office is to provide you with the highest quality health care in the most cost-effective manner. However, the ability of Center for Spine & Pain Medicine, to achieve this depends greatly on your understanding of our financial policy.
IF YOU HAVE MEDICAL INSURANCE, WE WILL FILE YOUR CLAIMS ON YOUR BEHALF. This is done as a courtesy to our patients. We are glad to help you receive the maximum allowable benefits from your insurance. Even though we will file the insurance claim for you, we also need your active participation in the insurance claims process. Your insurance contract is between you and your insurance company. If your insurance pays only part of your bill or rejects your claim, you are financially responsible for the balance and the balance is due upon receipt of your statement. We also check your eligibility as a courtesy. If your eligibility status changes and we are made aware of the change after you have already been seen, you will be responsible for either providing an alternate insurance or payment of the balance in full. You are responsible to pay your copay/deductibles/coinsurance at the time of service. It is your responsibility to make sure that the insurance information that we have on file is correct. If you get a new insurance card in the mail from your insurance company, please bring it with you to your next appointment.
As a participating provider of Medicare Part B (Physician Services), Center for Spine & Pain Medicine will only bill you your Medicare co- insurance, deductible or any services rendered that are not covered by Medicare. All other services will be billed directly to Medicare. PAYMENT FOR SERVICES NOT COVERED BY MEDICARE ARE TO BE PAID THE DAY SERVICE IS PERFORMED. For covered services, you will be responsible for paying your 20% co-insurance amount at the time of service if you do not have secondary insurance. If you have Medicare Part A only our services will not be covered by Medicare and payment is due at the time of service.
HMO/PPO/MANAGED CARE INSURANCE PATIENTS
Many HMO/PPO/Managed Care Plans require that you obtain a referral from your assigned primary care provider to receive care from a specialist. IT IS YOUR RESPONSIBILITY TO OBTAIN THIS REFERRAL IF REQUIRED. Services will be the financial responsibility of the patient if not done properly.
Patients with NO Insurance
ALL PATEINTS WITH NO INSURANCE WILL BE REQUIRED TO PAY FOR THEIR VISIT IN FULL AT THE TIME OF SERVICE. As a courtesy to our cash patients we will give a discount for office visits and injections. If special arrangements are deemed necessary, you will be given information regarding whom to contact to discuss arrangements.
It is the policy of Center for Spine & Pain Medicine to require 48-hour notice for all our patients who wish to cancel their office or procedure appointments. There will be a $25 cancellation fee for office visits and $150 cancellation fee for procedure appointments which are canceled without proper notice. This fee must be paid before scheduling the next visit to our office. This fee is not insurance responsibility.