Policies

Our fees are based on the complexity of the problem and time spent diagnosing and treating the problem both in the office and on the phone. We accept cash, checks, Visa, MasterCard, and Discover.

Billing and Insurance Policies:

1. Payment in full is expected at the time of the office visit unless you have an insurance plan with which we are contracted, then your copay is due at the time of the visit. If you do not pay your copay at the time of the visit, it is subject to a $5.00 service charge. Review your insurance contract closely. You may be responsible for multiple copay/co-insurance payments dependant upon services rendered.

2. The parent or child accompanying a minor child is responsible for payment of the child's care, unless other arrangements have been made with our office prior to the visit.

3. If you are billed for charges your insurance company should pay and didn't, please contact your insurance company to find out the status of the claim. We cannot intercede for you except to supply reasonable medical documentation.

4. Some insurance plans do not cover screening or preventative procedures or health assessment physicals. If you desire to proceed with these exams, you will be responsible for the costs. We will, of course, provide you with an estimate of that cost. If this practice provides services not covered by your insurance plan, you will be billed directly for those services.

5. We contract with many insurance plans including HMO's and PPO's. They often have restrictions on what is covered. They may require authorization for referrals to specialists and emergency room visits, as well as specifying where testing is done. We cannot know all the restrictions that may apply to your policy. We recommend that you fully understand your insurance plan. We have found that they will not pay if you do not follow their rules to the letter.

6. Notify us immediately of any changes to your insurance coverage. This ensures that your claims are paid in a timely manner. Since a copy of your insurance card is kept in your chart and referred to as necessary, please make sure we have a copy of the newest card.

7. If you need testing or a referral to a specialist, always check your insurance policy to see if the test requires precrtification or the doctor, a referral. If necessary, notify our Referral Department at least one week in advance of any appointments you have to see specialists or receive testing. This allows us time to complete a referral for you should one be required. If we are not notified you may end up financially responsible for those services. Calling us the day of your appointment could result in your having to delay your appointments until your insurance company's requirements are satisfied. This office is prohibited from issuing retroactive referrals. We are not permitted by your insurance company to write a referral for a specialist visit after that visit has occurred.

8. If you have any concerns or complaints about the healthcare benefits provided by your insurance company, we encourage you to contact your employer's Human Resources Department.

9. If you are experiencing any difficulties with your insurance benefits, you have access to the Consumer Services Division of the Ohio Department of Insurance. You can contact Consumer Services with complaints or concerns at www.ohioinsurance.gov or call 1-800-686-1526.

Managed Care has added much more overhead expense to our practice due to ever increasing constraints on payment, paperwork and getting medical care authorized. For these reasons we have instituted the above policies.

Contact billing department and pay your bills online: www.paythisbill.net.