To identify the appointments that are based on treatment for injuries and notify the patient of personal or insurance responsibility.
This facility will provide the patients with timely medical care for injuries sustained regardless of insurance coverage in order to help patients reach a level of physical health that was enjoyed prior to injury. In order to avoid interest charges or late fees and maintain a current balance for these appointments, our billing department with help to identify what type of coverage would be applicable to the injury sustained and bill accordingly. Our billing department will provide the most accurate, timely billing and submission of claims, with the strictest confidentiality standards to ensure our patients receive the most accurate accounting possible. Billing will be done in compliance with billing rules of third party payers.
As the type of insurance coverage differs between types of injuries we have developed a policy to help you understand coverage and how we accept payment.
Workman’s Compensation Injuries: We are no longer Worker’s Comp providers. While we may take each case individually, it is your responsibility to procure authorization for us to treat you. The authorization must be faxed to our office prior to your first visit. We will not be able to determine MMI.
Automobile Injuries: As we are a tort state (meaning the driver who is responsible for causing the accident, is also responsible for paying the victim’s medical expenses), auto insurance coverage may differ or coverage maybe handled in one of two ways.
You are at fault: Your insurance policy will pay on a visit by visit basis.
You are not at fault: The liability insurance will wait until you have recovered and will offer a settlement payable to you. Because this settlement is payable to you, you will be responsible for making payments for each visit as you are seen. We will allow you to make payments on your first visit, but for subsequent visit, you will be required to pay at time of service.
Third Party Liability (Also known as “slip and fall injuries”): You have been injured at someone else’s place of business or home. The liability insurance will wait until you have recovered and will offer a settlement payable to you. Because this settlement is payable to you, you will be responsible for making payments for each visit as you are seen. We will allow you to make payments on your first visit, but for subsequent visit, you will be required to pay at time of service.
Other injuries: If you have been injured at your own fault (ie you fell off your horse, you slammed a hammer on your finger and broke it, you fell off your trampoline, you were mountain biking and injured yourself) Depending upon your policy, your health insurance most likely will consider this as a covered benefit and pay visit to visit. Your health insurance will send you a questionnaire regarding the injury to find out how and when the injury happened. Please share all information this information with our office upon your first visit.
For any visit that is covered by an insurance company other than your health insurance policy, documentation relating to the injury and your healing progress must accompany the claim. Because it is difficult to separate documentation for your other health issues, we ask that you make a separate appointment for your injury.