Patient Notice of Billing Practices

Patient Notice of Billing Practices

We accept the following:

• Cash, Personal Checks, Money Orders and the following credit card types – Visa, MasterCard, Discover, CareCredit, Debit
• Insurance is billed as a courtesy to our patient. Deductibles and Co-Pays are due at time of service.

Private Insurance

We are now preferred with most Major Insurances (Aetna, Cigna and Blue Cross). It is best that you check with your insurance carrier to make sure we are on their contract list.

Office Visits:

We collect in full at the time of service for patients that have not met their deductible. Patients who have already satisfied their yearly deductible are expected to pay their copay at time of service. We allow 30 days for insurance to pay on new claims. If a patient’s insurance does not pay, or pays less than the full amount billed, we balance bill the patient.

If we are not contracted with your secondary insurance, you will be given a copy of your bill to submit to your own claim and have you pay us for the balance owing.

Surgery:

If we are contracted with your insurance, we will bill it for you. We allow 30 days for the primary insurance to pay and 30 days for the secondary insurance to pay. If either insurance company does not pay, in the designated time frame, we balance bill the patient. It is beneficial for both parties to work together in resolving balances so that they remain current. We collect any applicable co-pays/deductibles, prior to surgery during a pre-op appointment with our surgery scheduler.

Medicare/Medicaid

We are currently accepting a limited number of new Medicare and Medicaid patients yearly. If you have this insurance type and there is a co-pay due, this will be collected at the time of service.

Our preference is always to work directly with our patient on balances that are due; however, any balances that remain unpaid may be forwarded to Cornerstone Collection Agency to facilitate payment arrangements on this debt. Cornerstone does assess additional charges to your balance owed.

I have read the above payment options and understand my financial responsibility to AKCRS. I understand that if I have additional questions, I may speak with a billing representative, prior to my appointment.