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INSURANCE
At present, we are participating physicians in Oxford Health Plans. We do NOT participate in United Health Care (despite their recent merger.) We are also participating physicians with Anthem Blue Shield and Blue Cross. We are currently negotiating with Empire BC/BX, and may begin to accept their plans early to mid-March 2010.
Our office secretary can tell you if other insurance plans are being considered by our practice or are pending. If we do not participate in your plan, you will receive an itemized statement that has been signed by a physician at the time of each visit. This bill should be attached to the standard claim form issued by your insurance company and mailed directly to them. Do not return it to us for processing. Claim forms can be obtained from your insurance company, your employer, or in some cases, from our office.
Your insurance contract should be read very carefully. In some cases, physician services require a co-payment at the time of services, or there may be no reimbursement until a deductible amount has been reached. Also, some carriers may only make payment if medical and diagnostic services are ordered or provided by their participating doctors; if they are performed at specific locations; or if they have received prior approval from the carrier. Our bookkeeper can provide additional information if it is needed.
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BILLING FOR SERVICES
Parents are expected to pay for office visits and co-payments at the time of each visit unless other arrangements have been made in advance. Statements of account are mailed monthly and are payable upon receipt. Credit card payments made in person or by telephone are acceptable. If you have questions about fees charged for service, please contact our bookkeeper as early as possible. Alternate payment arrangements are available for our patients when personal or financial problems arise. At times of need, we will discuss them with you.
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FEE SCHEDULES
A complete fee schedule is available from our secretary. Fees may change from time to time without prior notice. A modest surcharge is added for Sunday, holiday, and after- hours visits.
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