INSURANCE & FINANCIAL POLICY INFORMATION
INSURANCES ACCEPTED:
INSURANCES NOT ACCEPTED:
If you do not see your insurance listed in either of the above tables, please call our office to confirm if we are in network with your plan.
FINANCIAL POLICY
1
Insurance
We participate in most insurance plans, including Medicare and Medicaid. If you are not insured by a plan we do business with, $100 up front payment is expected when booking the appointment, and you will be billed for the remainder of the cost after your visit. If you are insured by a plan we do business with but don’t have an up-to-date insurance card, $100 up front payment for each visit is required until we can verify your coverage. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage.
2
Co-Pays and Deductibles
All co-payments and deductibles must be paid at or prior to the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud. Please help us in upholding the law by paying your co-payment at each visit.
3
Non-Covered Services
Please be aware that some – and perhaps all – of the services you receive may be noncovered or not considered reasonable or necessary by Medicare or other insurers. You must pay for these services in full at the time of visit.
4
Proof of Insurance
All patients must complete their eCheck-In/pre-registration prior to their visit. We must obtain a copy of your driver’s license and current valid insurance card(s) to solidify proof of insurance. If you fail to provide us with the correct insurance information PRIOR to your visit, you will be considered a self-pay patient and reqired to pay $100 up front. This $100 can be refunded if proof of insurance coverage is provided in a timely manner. Otherwise, you will be responsible for the full cost of the visit.
5
5
Card on File & Missed Appointments
We require a form of payment on file (credit or debit card) as a security deposit for your upcoming visit in the event you late cancel (within 24 hours of your appointment) or do not show at all (click HERE to see our Cancellation and No Show Policy). Your card will be stored in our fully encrypted, HIPAA compliant software. If you choose not to store a card on file, you will be asked to pay a $50 deposit up front when scheduling your appointment. The deposit can be refunded or applied to your balance if a late cancellation/no show does not occur. Otherwise the deposit will be kept by CPI as the late cancel/no show fee, or your card on file will be charged accordingly.
6
Nonpayment
Any remaining balance for your visit, either not covered by your insurance or the remaining portion as a self-pay patient, is your responsibility. You will receive an itemized statement detailing the balance owed. Partial payments will not be accepted unless otherwise negotiated with our billing department. Accounts over 90 days past due will be turned over to a collection agency, and you will be unable to schedule any future visits until the balance is paid in full.
Our practice is committed to providing the best treatment to our patients. Our prices are representative of the usual and customary charges for our area. Thank you for understanding and adhering to our payment policy. Please let us know if you have any questions and/or concerns.