Fees & Insurance
Our practice is committed to providing each of our patients with the highest quality health care. It is therefore important to us that you understand the costs associated with your care. By informing you of our expectations, we hope to alleviate any misunderstanding or disagreement concerning financial responsibility. Please do not hesitate to contact our billing office with any questions or concerns.
Insurance Claims and Payment
While our physicians are participating providers for many different insurance plans, the list is not conclusive. Your insurance is a contract between you, your employer, and the insurance company. Payment for your health care services is ultimately your responsibility. It is therefore important that you verify provider participation benefits with your insurance company prior to your visit. As a courtesy, we will file your claim (s) on your behalf regardless of whether or not we participate with your insurance plan.
Payment is due at the time of service for any amounts known to be not covered, or not paid by your insurance plan. This includes all co-payments, coinsurance, and surgery deposits. Your insurance card and a valid i.d. must be presented for verification at each visit.
Notice: Our contract with your insurance company requires payment of your insurance co-payment at the time of service.
Carolina Sinus Center offers several options for payment. For your convenience, we accept cash, personal checks, VISA®, Mastercard®, and Money Orders. We also offer financing through CareCredit.
A service charge of $10 will be applied to your account for any co-payment not received at the date of service.
Billing and Collections
You should receive a statement approximately every thirty (30) days unless your balance is less than $3.00. If payment or denial is not received by your insurance company within ninety (90) days from claim submission, the total amount due will be your responsibility.
Any amount due remaining after your insurance has paid, denied, or not responded, is expected to be paid in full (by you) within thirty (30) days unless other financial arrangements have been made with our Billing Office. Our formal collection process will begin after that time.
We realize that temporary financial problems may affect timely payment of your account. If such problems arise, we encourage you to contact our Billing Office at (704) 544-6533. We will do our best to accommodate your individual situation.
If you do not have insurance, or are having a procedure that is not covered by your insurance, payment in full is expected on or before the date of service.
Surgical Services and Procedures
Surgical Services are not covered at 100% by most insurance plans. Once benefits have been applied, patients are frequently responsible for a deductible, coinsurance and/or co-payment. It is therefore required that prior to surgery, financial arrangements be made to cover the balance due after the insurance company pays its portion. The following plan has been made available for your convenience.
CareCredit is a program that offers a line of credit with no interest or low interest payment options. It is “specifically designed for healthcare expenses, and makes it easier for you to get the treatment or procedures you want and need. Care credit is ideal for co-payments, deductibles and payment for treatment and procedures not covered by insurance (CareCredit, Inc., 2005).” Please visit CareCredit’s website for details at www.carecredit.com. Restrictions may apply.
Contact the Billing Office regarding these or other payment options that may be available to you.
Responsible Party for Minors (18 years and under)
We assign all financial responsibility to the parent or guardian that completes and signs the patient registration form. Any amounts due at the time of service are expected from the parent or guardian accompanying the minor to the visit. The minor is responsible if unaccompanied. In the event that a divorce decree assigns financial responsibility for medical bills to another individual, we still hold the registering parent or guardian responsible. We will however assist you in the recovery of such payment by providing you with receipts showing that the payment was made.