2930 Village Drive
Fayetteville, NC 28304
Office: (910) 323-9010
Fax: (910) 323-9568


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


Highland Health is a member of the Sandhills Physicians Organization.



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