ALLERGY & ASTHMA DIAGNOSTIC OFFICE FINANCIAL POLICY
If you have medical insurance, we will help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our financial policy. We require a copy of ALL insurance identification cards and ask that you bring them with you and present them at EACH visit. (Insurances with individual cards, we must have the patient's ID card)
It is the patient's responsibility to secure ALL referrals if your insurance carrier requires one! If a referral is NOT in place PRIOR to your office visit, we may be forced to reschedule your appointment. We reserve the right to charge for a visit that needs rescheduling due to non-compliance.
Please verify with your insurance carrier if we are participating providers for your insurance. Many insurance provider directories are NOT up to date. We must emphasize that as medical care providers, our relationship is with you, not with your insurance company. All charges are your responsibility from the date the services are rendered. It is therefore, neither our place, nor our policy to contact insurance companies to establish why they have not made payment or why payment is less than the submitted charges. We encourage you to ask for an estimate of the charges you will incur prior to your visit.
PLEASE NOTE: For those insurance companies with whom we have a contract, all co-payments are payable at the time of the visit ; otherwise a $5.00 billing charge will automatically be added to your account. *We accept cash, check, Visa & MasterCard.
We will submit for all insurances (other than Workman's Comp & Medicare) providing:
- The patient information form is completely filled out and financial policy signed.
We have a copy of the patient's insurance identification card.
We are able to verify coverage by telephone and have a complete mailing address.
If it is your Primary Insurance. (We do not routinely bill non-participating secondary insurances.)
For non-participating insurances, we submit claims as a courtesy to our patients.
You will receive a billing statement for any unpaid balances, co-insurances or charges determined not covered under your policy. A $5 monthly billing charge will be added to all accounts over 30 days. Any disputes with balances due must be brought within 30 days of the 1st billing or they will not be considered.
We realize that temporary financial problems do arise and we encourage you to contact us promptly for assistance in the management of your account. Special payment consideration may be extended in the even of unusual circumstances. To avoid any misunderstandings, we invite you to discuss any financial problems with the Billing Manager.