Office Policies
 

Patient Responsibility: We encourage you to become familiar with your insurance benefits and to confirm our participation with your insurance plan. Many misunderstandings regarding insurance coverage can be avoided by understanding the details of your policy. Please contact your insurance company directly with any questions regarding your coverage or benefits.

 

Proof of Insurance: All patients must complete our patient information form before seeing the doctor. We must obtain a copy of your valid government issued identification and a current, valid insurance card. Please bring these items with you to each visit. Payment in full is required if we are unable to verify your current insurance information.

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Co-payments due at the time of service: Copayments will be collected according to your insurance policy.

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Self-pay (for patients without insurance coverage): An initial visit is $150, and a follow-up visit is $130. If additional lab tests are ordered, additional fees may apply.

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Nonpayment & Returned Checks: Unpaid accounts may be referred to an outside collection agency and could result in dismissal from the practice.

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Annual check-up: During an annual check-up, if additional medical issues are evaluated or managed, a separate sick visit charge may be billed in addition to the annual preventive visit. Depending on your insurance plan, this may result in an additional copayment or patient responsibility.

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No-shows: Please notify us 48 hours in advance by phone or secure portal if you must cancel or change your appointment time. Same-day cancellations will be considered a no-show. After two no-shows, we may no longer be able to offer future appointments.

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Insurance Carriers Requiring Referral: If you are being referred to a specialist and your insurance carrier requires a referral authorization number, please allow our office at least one week’s notice to process the referral.

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Form completion: All forms requiring medical review and physician signature – including FMLA, disability or other paperwork – will be subject to an administrative fee of $30.