Our billing office is staffed by knowledgeable personnel who can address questions regarding OrthoNeuro payment policies, which insurance plans we participate with and questions regarding your account or billing statement.
How to reach the billing office:
Phone: (888) 384-3452
Thank you for choosing us as your healthcare provider. We are committed to providing you with the best possible care. Your clear understanding of our financial policy is important to our professional relationship. Please understand that payment of your bill is considered part of your overall treatment. In order to keep your cost of healthcare to an absolute minimum, we have adopted the following policies.
Fees and Payments
Fees are standardized and are based on the complexity of your visit or procedure. Payment of co-payments and any outstanding balance(s) are required at the time of service. We accept cash, personal checks, money orders, Visa, Discover, MasterCard and CareCredit. All charges are your responsibility from the date that service(s) are rendered. In order for us to file a claim, you must present a current copy of your insurance card at each visit and communicate any changes in your personal contact information.
Most insurance policies specify that some of the cost of the patient’s care is the patient’s responsibility. This can be accomplished through any combination of co-payments, co-insurance or deductibles. Co-payments are due when you check-in for your appointment. Once your payments are received they will automatically be applied to the oldest outstanding balance on your account. If you would like a payment to be applied to a specific charge please notify our staff at the time of payment.
It is not the policy of OrthoNeuro to hold your account for settlement of a legal suit. In the case of an open claim through an auto or homeowners insurance, you are responsible for the specific charges.
Federal and state laws and insurance company contracts prevent OrthoNeuro from adjusting off co-pays, deductibles and any other patient responsible balance after insurance has paid.
Insurance Plans
Your insurance coverage is a contract between you, your employer and the insurance company. We must emphasize that as healthcare providers our relationship is with you, not with your insurance company. Before your visit, please contact your insurance company to verify the physician and the location at which you are scheduled participates with your plan and that the service(s) that you intend to receive are covered. In addition, because some insurance plans require either pre-certification and/or a referral from a primary care provider, it is your responsibility to obtain the necessary approvals.
Not all services are a covered benefit in all plans, so it is very important that you understand the provisions of your individual policy. Some insurance companies select certain services that they will not cover. We cannot guarantee payment of all claims by your insurance company. If your insurance company pays only a portion of your claim or rejects your claim, they will notify you through an explanation of benefits (EOB). Reduction or rejection of your claim by your insurance company does not relieve you of your financial obligation for your charges.
Predetermination of your co-insurance, deductible, and/or non-covered services can be collected at the time of service. If predetermination is not available through your insurance company this charge will be payable upon receipt of your billing statement from OrthoNeuro.
Non-Payment of Outstanding Accounts
Accounts that are not paid in a reasonable amount of time may be sent to an external collections agency and reported to the credit bureaus. If this occurs, you may be required to pay the outstanding balance in full plus any applicable fees prior to coming back to the practice.
Administrative Fees
OrthoNeuro uses a third party vendor to process Family Medical Leave Act (FMLA) forms, Disability forms and Medical records requests. All applicable fees, if required, are due prior to the completion of the request.
Returned Check Fee – Non Sufficient Funds (NSF) checks are subject to a $25 fee (in addition to fees from your bank)
Self-Pay Policy
This policy applies to any patient that:
1. Is uninsured by any federal healthcare program or uninsured by any private health insurance plan
2. Requests their insurance not be billed and not enrolled in any Medicaid program
Service received in the office are paid at the time of service.
The patient will pay a fixed fee prior to being seen by that physician for both the initial visit and x-rays.
If required, extra services will be billed accordingly and the patient will be responsible for those additional charges.
FLAT FEE
Initial Physician $250
Initial Rehab $200
Follow-Up Physician $150
Follow-Up Rehab $100
Orthotics $400
If a patient requires surgery, OrthoNeuro will require a 50% deposit prior to the surgery with the balance payable within 45 days of the surgery.
PLEASE NOTE: OrthoNeuro does not accept HCAP.
