Forms
Billing
Our clinic is committed to providing the best outpatient rehabilitation possible and we understand your concerns regarding the cost of your care. Our Insurance Verification Department contacts your insurance company prior to your first visit at our facility so that we will be prepared to inform you of any balances that may not be covered by your insurance plan. It is important to note that your coverage is an agreement between you and your insurance carrier, and that you will be responsible for payment of any balance not covered by insurance; however, we can assure you that you will find our staff happy to discuss payment arrangements that will enable you to receive the therapy you need. If you are a self pay patient you may inquire about out Budget Payment Plan. We reserve the right to charge a no show fee for appointments missed without prior cancellation.
Check out our Frequently Asked Billing Questions Below:
1. How much will I have to pay for each visit?
The amount you will be asked to pay will be determined by your individual
insurance plan. We will ask you to pay the portion of the bill that your
insurance carrier defines as your responsibility. In most cases, this will
be your copay or co-insurance amount. In some instances you may need to
pay more if you have not met your yearly deductible.
Most commercial insurance carriers will list your copay or co-insurance
figure directly on your insurance card. Our services are considered
specialist services.
2. What payment options do you accept?
We accept payments made by cash, check, Visa, MasterCard, or Debit Card
containing a Visa logo.
3. Will you bill my insurance carrier for me?
Yes, we will be happy to submit your claims to your insurance carrier for
you.
4. I have more than one insurance carrier; will you file to all my
insurance carriers?
We will be happy to file your charges to up to 3 carriers for you.
We will file to your primary insurance carrier first, and if there is a
balance left after they process your claim, we will file that balance to
your secondary carrier. If there is a balance left after your secondary
insurance carrier processes your claim, we will file to your tertiary (
*third*) insurance carrier.
In the unlikely event there is a balance left after the third carrier
processes your claim, we will provide you with any information needed for
you to be able to file your charges to your additional carriers.
5. I need treatment as a result of a Workers’ Compensation injury; will I
have to pay anything when I come for my appointment?
No, payment of your visit will be billed to your Workers Compensation
Insurance Carrier. You will not be asked to pay a copay, coinsurance or
deductible amount at your appointment.
6. Do you accept the NC Workers Compensation Fee schedule?
Yes
7. What does “in-network” and “”out of network” mean, and how does this
affect what I pay?
“*In network*,” means a facility or provider has a contract in place with
your insurance carrier, and “*out of network*” means that they do not.
If you use an “*in network*” provider to provide your services, this will
usually result in your receiving a network discount on the cost of the
services you receive. If you use an “*out of network*” provider, you will
not receive this discount, and in some cases, your benefits may not be
covered at all.
As a courtesy to our patients, we will make every attempt to verify your
coverage for you prior to your appointment, so that you will know what you
can expect from your insurance carrier.
8. I have been in a motor vehicle accident that was not my fault, will you
bill the other party for my services?
Our policy is that we will bill against any existing medical coverage on
your own auto policy, as there is no pending settlement involved with such
billing.
If you have Medicare, we will send a bill to the 3rd party carrier for
your, but if your claims are not paid within 120 days, we will need to bill
your charges to Medicare for what is referred to as a “conditional
payment.” This insures that in the event your settlement does not cover
all your medical expenses, you will not end up with a large balance with
our facility that you would have to pay out of your own pocket. We will
provide Medicare with the needed information to recoup their payment from
the third party once your settlement is reached.
If you have other insurance, we will bill to your carrier and provide them
with the same information, upon request, so that they will be able to
recoup their payment as well.
We have chosen to follow these guidelines because we wish to protect our
patients from the danger of being unable to file against their own
insurance policies, should they need to, due to time restrictions on how
long you are allowed to wait before filing charges with your carrier. If
timely filing limitations are exceeded, then we would be unable to file
your claims with your personal insurance carrier, and you could end up with
a large balance that you would have to pay out of your own pocket.
Have a question that wasn’t answered here, please contact us.