Because of rules and regulations set by the Insurance and Healthcare industries, your visit charges will be dependent on several factors. Factors that contribute to your visit charges include, but are not limited to, the complexity of the presenting problems/illness, performance of procedures and diagnostic testing, and administration of immunization/drug therapies. Given the nature of the above mentioned factors, it is not possible to determine the exact cost of a visit prior to services being rendered.
Any pricing information given prior to your visit is based on the estimated charge of the office visit only, and does not include any procedures, diagnostic testing, and administration of immunizations or drug therapies. Such pricing information is an estimate only and actual charges may vary greatly from the estimate provided.
Any questions concerning a specific visit or episode of care can be directed to one of our Patient Account Representatives.
Diagnostic Tests and Laboratories
Some diagnostic tests can be performed in the lab at our office. Your insurance may designate specific laboratories or facilities to which you must be referred in order to receive full coverage for these tests and procedures. You will be billed separately for tests and service provided by an outside facility.
It is your responsibility to know which facilities are covered by your plan and to communicate this to us. If you are unsure, contact your insurer's customer service representative for clarification. As previously stated our office is not liable for any denial of benefits due to failure on your part to notify us of requirements as set forth in your insurnace benefit plan.
Pay in full at the time services are rendered and we will provide you with a discount that represents the cost to our business to send out statements and collect normally outstanding balances. It is our belief that you should not have to pay more if your not the cause of the added expenses. This discount ranges from 15%-25% depending on services.
If you have insurance and this discount is greater than what your insurance carrier normally recieves we will be glade to extend this "Prompt Payment" or "Time of Service Discount" to them. All they need to do is have cash or check payment in our office for the full amount (less discount) prior to you leaving the office. Additionally, any contract between our office and the insurance carrier is null and void for that visit. Our office will not be required to provide any contractual administrative services nor be obligated to participate any in quality review, medical necessity review or other administrative burdens otherwise contained in the contract. Finally, the insurance carrier would agree to no "refund", "overpayment" or "retroactive denial" recourse. Have your insurance carrier contact our office if they are interested in this simplier solution to healthcare cost control.
This discount can not be combined with or in addition to any other discount (i.e. on top of insurance contracted rates, our office allows one or the other but all terms and conditions must be met).
This discount is at the sole discretion of our office and may be discontinued at any time without notice.
