We are in the business of ensuring our patients have excellent care and recovery. Patients are our top priority. The following information is here to assist you with the financial decisions associated with utilizing our services.
Self-pay patients
Estimates are available if you call prior to the date of surgery. In order to give you the best estimate possible, we will need the CPT-4 code for the surgery being performed and the length of time the surgeon believes the case will take. The estimate given to you will be just that, an estimate. The actual charge may vary due to the length of time it takes for the case, the physical condition of the patient, and any additional procedures the surgeon may feel is necessary. Once the actual charge is on your account, we will refund you for any overpayment or send you a bill for the additional monies due.
Insurance patients
As a courtesy, we will file a claim with your primary and secondary insurance plans. You will receive a statement for any balance not paid by your insurance company. Our insurance specialists will do all they can to help you in communicating with your insurance plan. Please keep in mind that any questions regarding coverage, benefits, or payment for services provided is your responsibility to resolve.
Contracted Insurance patients
Please see MAPMC Contracted Carriers. We will bill and work with your insurance until they have taken care of their obligation for your covered services. You will receive a statement only after your insurance has paid their portion. The amount due will be based on the type of coverage that you have, but is normally only any portion of your deductible that remains and any co-portion your plan says is your responsibility.
Any statement that you receive will show you the balance due by you. It is payable upon receipt. Any balance past 15 days is considered past due. An account that is 90 days old, or has a bad address, or per the patient’s request, will be turned over to a collection agency. The patient is responsible for all collection agency fees, any court costs, filing fees, and attorney fees should this account require litigation.
For those unable to pay the balance due, please call our office and speak with one of our account representatives. (239-332-5344)