I n s u r a n c e
Our goal is to offer continuing, optimum patient care without having a patient’s treatment dictated by a third party; hence, we do not accept payment from insurance companies. Instead, we prefer to have a direct relationship with our patients and to give them the opportunity to make the final decision as to which treatments are most beneficial for them or for their children.
Filing claims with insurance companies is a full-time job that requires a substantial amount of knowledge which Insurance Coders go to school to learn. Our staff has not been trained for this purpose; however, we do our best to comply with insurance requirements so that you can get reimbursement. Because of this, we do not accept nor bill to insurance and are considered out-of-network for all insurance companies. All payment is expected up front (cash, check and all major credit cards are accepted).
To help you in your quest for reimbursement we will do the following:
- Provide you with an insurance reimbursement form (Walkout Statement) which has all the codes and information you would need to submit a claim to your insurance company for personal reimbursement.
- Any requests for additional forms from your insurance company will gladly be accommodated for a fee. This includes records, reports, tests, etc.
- To avoid multiple fees, we will give the copied information to you to submit to your insurance company (along with their letter of request). We HIGHLY recommend that you only send copies of the documents, never the originals.
Please note that we frequently receive letters from insurance companies requesting records or different diagnosis codes, different CPT codes and additional information. Because we are out-of-network, we do not have a direct relationship with any insurance company. We will give this additional information to you to submit to your insurance company; however, we will not send the information directly to the insurance company.
To verify out-of-network benefits and coverage, please contact your insurance company at the number located on the front or back of your insurance card. We regret that we are not able to provide reimbursement forms for Medicare/Medicaid patients due to legal guidelines with Medicare. Some lab work ordered however, is covered by Medicare.
