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| | Please click here to view our Patient Financial Policy, which includes important information, including: - Insurance
- Private pay
- Medicare
- Estimates
- Payment terms
- Special circumstances
We request that our patients sign a receipt form, to show that they have received a copy of our Patient Financial Policy. You may access this receipt on our Forms page. Please sign it and bring it with you to your appointment. | |
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| | It is very common for insurance companies to send patients a questionnaire once they receive a bill from an Orthopaedic Surgeon. In this field, we see a lot of problems caused by accidents or on-the-job injuries. Before your insurance pays, they will want a complete history from you in order to verify there is not another insurance company liable for payment. They typically send this in the form of a mailed questionnaire. They will also notify our office this was sent to you. We will call you for status in the hope that you reply to your insurance company promptly. If we can not confirm that with you or your insurance company states it is still awaiting your response, all charges will be transferred to you for payment and your account will default to our standard net 30-90 day terms. | |
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| | For those without insurance coverage a $450 deposit towards treatment is requested on your initial appointment.
Once you are seen by the doctor, a treatment plan will be determined and a financial consultation will be provided to you.
Our physicians understand all patients do not have access to insurance coverage. Fees for service are determined by the entire treatment plan. The fees are considerable and reasonable and most always a discount off our standard fee schedule is honored.
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| | For your convenience, we accept the following methods of payment: - Cash
- Check
- Visa
- MasterCard
- American Express
Please note all "non-cash" transactions are processed electronically and will be deducted from your account the same day. In such an event (such as prepayments) you would like to defer payment to a later date your credit card can be held on file with our bank and a contract can be made to process your payment on a more convenient date.
Note: Payment plans can also be set up this way to make financial budgeting easier.
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| | Third-party insurance claims (where treatment is paid by another person or insurance company) are considered on a case-by-case basis and must reviewed by our practice manager before treatment can begin. If we decide to take your third-party claims case, we will phone you with our decision and set an appointment for you to see Dr. Wilhite or Dr. Komas. | |
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| | If you are currently being treated for a Worker's Compensation injury and would like to be evaluated by Dr. Wilhite or Dr. Komas, you will need to be referred by one of the following: - your primary treating physician OR
- your worker's comp insurance carrier OR
- yourself (you may simply phone our office – this is called self-referral)
Once the referral process is started, we will request that all records pertaining to your injury be sent over for review by either Dr. Wilhite or Dr. Komas.
When the review process is complete, Dr. Komas or Dr. Wilhite will determine whether or not they feel they can provide further treatment. If so, we will begin the authorization process with the worker's compensation insurance carrier, and an appointment will be scheduled when approval is received. All parties will be notified of this appointment time (referring physician, worker's comp, and yourself). | |
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