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Our Financial Policy Certified Allergy &
Asthma Consultants considers payment of your bill to be part of your
treatment. The following is a statement of our Financial Policy.
General Payment Guidelines
For those patients without health insurance, payment in full is due
at the time of service, unless other payment arrangements are made with our
Business Office in advance.
For those patients with health insurance, payment of co-payments
or co-insurance, as required by your insurance plan, are due at the time of
service, as outlined below.
WE ACCEPT CASH, CHECKS AND CREDIT CARDS (VISA, MasterCard or Discover
Card.)
Regarding Insurance
Insurance Plans With Which We Participate
If you are a member of an insurance plan with which we participate, all
co-pays and co-insurance payments, as required by your insurance plan, are
due at the time of check-out following your appointment. If you receive
immunotherapy injections in our offices, you will be given the opportunity
to have your co-payments or co-insurance automatically charged to your
credit card on a monthly basis. In the event that your insurance coverage
changes to a plan where we are not participating providers, refer to the
paragraph below.
Insurance Plans With Which We Do Not Participate
We will accept assignment of your insurance benefits. We do require that you
make co-insurance payments at the time of check-out following your
appointment. The balance on your account is your responsibility whether your
insurance company pays or not. We cannot bill your insurance company unless
you provide complete billing information. Your insurance policy is a
contract between you and your insurance company. We are not a party to that
contract. If your insurance company has not paid your account in full within
60 days, the balance will be billed to you.
Usual and Customary Rates
Our practice is committed to providing the best treatment for our patients
and we charge what is usual and customary for our area. You are responsible
for payment regardless of any insurance company’s arbitrary determination of
usual and customary rates.
Medicare, Medicaid and Medicaid HMO Plans:
As a member of Medicare or Medicaid plans you will not be responsible
for payment at the time of service. As a Medicare patient, you will be
billed for co-insurance after Medicare has processed the claim. As a
Medicaid patient, you will be billed for any charges not paid due to
Medicaid ineligibility as determined by the Medicaid program.
Referrals
If your insurance plan requires referrals from your Primary Care
Provider (PCP) for specialist services to be provided by our Practice, it is
your responsibility to obtain the referral for the appropriate dates of
service. Failure to obtain a valid referral for our services in advance of
the performance of those services may result in denial of coverage by your
insurance company. The balance of charges due on those services will become
your responsibility at the time of denial by the insurance company.
Adult Patients
Adult patients are responsible for full payment at time of service, as
outlined above.
Minor Patients
The adult accompanying a minor and the parents (or guardians of the
minor) are responsible for full payment for the services provided to the
minor at the time of service, as outlined above.
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