PATIENT FINANCIAL POLICY**
Welcome to our practice. As you may know, health care is becoming more complicated every day. Your clear understanding of our Patient Financial Policy is important to our professional relationship. Please understand that payment for services is part of that relationship. Please ask if you have any questions about our fees, our policies, or your responsibilities. It is your responsibility to notify our office of any patient information changes (i.e. address, name, insurance information, etc.).
Regional Rheumatology requires a copy of all current insurance information and photo identification prior to treatment. Failure to provide complete insurance information may result in patient responsibility for the entire bill. Although we may estimate what your insurance company may pay, it is the insurance company that makes the final determination of your eligibility and benefits. This office will attempt to verify your benefits at each visit. It is our goal to provide you with the most accurate information regarding authorizations, deductibles, co-pays and co-insurance responsibilities. You, the patient, are ultimately responsible for all charges associated with your care regardless of insurance coverage. Insurance is a contract between you and your insurance company. In most cases, we are NOT a party of this contract. We will bill your primary insurance company as a courtesy to you. If we are not participating with your insurance plan, you agree to pay any portion of the charges not covered by insurance.
Regional Rheumatology Associates does not participate with Workers Compensation or No Fault Insurance. We are, therefore, unable to treat any symptoms related to either a work related or a motor vehicle accident injury.
Referrals and Pre-authorizations:
If your insurance company requires a referral and/or preauthorization, you are responsible for obtaining it. Failure to obtain the referral and/or preauthorization may result in a lower or no payment from the insurance company, and the balance will be your responsibility.
The patient is expected to present a current/active insurance card at each visit. All co-payments are to be paid at the time of your visit. There will be an additional $10.00 billing fee charged to the patient if a co-pay is not paid at the time of the visit.
Any patient with a deductible and/or co-insurance component to their insurance plan will be required to pay that deductible/co-insurance at the time of service.
If you do not have insurance, do not have an insurance card on file with us, or you are covered by an insurance plan we do not participate with, payment in full is expected at the time of service. It is always the patient’s responsibility to know if our office is participating with their plan – feel free to contact our office for verification.
There is a $25.00 charge for any checks returned as non-payable. This amount will be added to the original check amount and must be paid by cash or credit card.
Appointments missed that are not previously cancelled may be charged a fee of $50.00. Due to the time allotment reserved, any new patient consultation appointments that are missed will NOT be rescheduled.
Outstanding Patient Balance:
It is our office policy that all past due accounts be sent a maximum of two statements. If payment is not made on this account, a single phone call will be made to try to make payment arrangements. If no resolution, the account will be sent to a collection agency or attorney, and may result in discharge of that patient from the practice.
**This Financial Policy is an abbreviated version of Regional Rheumatology Associates full Financial Policy. For additional details, please contact our office manager or billing specialist.
Contacting Our Office:
Our phone lines are open Monday through Friday from 8:15 AM to 4:30 PM. Our phone lines can be very busy; please be patient. We encourage you to leave a voice mail for specific requests including prescription refills, appointments and medical questions for your provider. Messages are reviewed often throughout the day by our office staff and routed to your specific provider. It is not necessary to leave multiple messages – that only duplicates work and will likely result in a delayed response from our office.
Please allow 48 hours for all prescription refills. Please do not wait until the day you run out of your medication to call for your refill. Refills will not be given during evening hours or on weekends or holidays.
Controlled medication prescriptions must either be picked up in person or mailed to your pharmacy. If asking to have your prescription mailed to your pharmacy, please call 5 days before your refill is due to allow ample time for the prescription to be written and mailed.
Most insurance companies require prior authorizations for infusions. Prior authorizations may take up to fourteen (14) days to receive. Please note that it is your responsibility to notify us of any changes in health insurance a minimum of two (2) weeks prior to your scheduled infusion appointment. We will not schedule any infusions in January until we have verified your insurance coverage and prior authorization.