Learn about Our Insurance and Billing Policies
Thank you for choosing us as your health care provider. We’re committed to providing you with the finest health care available and courteous, helpful staff. This service begins from the time you check in at our reception desk to the final payment of your bill. In order to make this process as smooth as possible for our patients, we have outlined some of the policies we follow.
Insurance We Accept
If you don’t see your insurance plan listed, please contact us to verify participation. Co-pays, deductibles, and coinsurance amounts are collected at the time of service.
- Aetna
- Blue Cross/Blue Shield (most plans)
- Champus/Tricare
- Cigna Healthcare
- Healthcare Savings
- Healthstar
- Medcost
- Medicaid Insurance
- Medicare
- PHCS/MULTIPLAN
- United Healthcare
- USA Healthnet
- Workers Compensation
Forms of Payment
We accept the following forms of payments: cash, check, MasterCard, Visa, Discover, American Express, and debit cards. Payment in full for all office visits is expected on the day of your appointment unless you have applicable insurance that will be filed for your visit. Co-pays, deductibles and coinsurance amounts will be collected before you are seen by the physician. Failure to pay your co-pay or coinsurance will result in the rescheduling of your appointment. Pay your bill now.
Authorization for Office Visits
If your insurance requires authorization to see a specialist, it is your responsibility to make sure this is sent to our office before your appointment. Your visit will be rescheduled or a wavier must be signed making you responsible for payment if authorization is not obtained before seeing the physician.
Workers Compensation Cases
If you are visiting as a patient under Workers Compensation, we must have a documented referral at the time of your visit, or you can have your adjuster call and give us information about your case before your appointment. Failure to provide this information will result in your visit being rescheduled.
Third-Party Payers
If you are being represented by an attorney as a result of an accident or injury and are expecting reimbursement from a third party, you are still responsible for your bill at the time services are rendered. No arrangements will be made based on prospective third-party payments.
Self-Insured Patients
If you are an uninsured patient, you will be required to pay the full amount before being seen by the physician. On average, office visits range from $70.00 to $285.00 depending on whether you are an existing patient or a new patient. Your appointment will be rescheduled if you are unable to pay for your visit at the time of service.
No-Show Policy
As a courtesy, we attempt to contact every patient to remind them of their appointment; however, it is the responsibility of the patient to arrive for their appointment on time. Cancellations must be received 24 hours in advance, so that we may accommodate other patients who need to be seen. Patients who do not contact us before their appointment will be charged a $50 cancellation fee that must be paid before the appointment is rescheduled.
Surgical Procedures
If, after consultation with the doctor, your condition requires surgery, the procedure will be scheduled at the facility of your choice, and our office will contact your insurance company to obtain benefits and preauthorization. However, verification of benefits is not a guarantee of payment from your insurance company. It is your responsibility to contact your insurance company regarding your coverage, any required second surgical opinions, and preadmission certification. Failure to keep your scheduled surgery or procedure date will result in a $50 charge, payable before your surgery will be rescheduled.
- Managed Care and PPO Plans: If your insurance is through a Managed Care or PPO plan in which we participate, you are expected to pay the co-payment or out-of-pocket costs as directed by your policy. No scheduled procedures will be performed until the full co-payment or out-of-pocket cost is paid in full.
- Other Insurance Plans: Insurance companies that we do not participate in or unmanaged care plans will be treated as commercial plans. They generally only pay a portion of the total bill. You will be responsible for paying any unpaid portion before any scheduled procedure will be performed.
- Self-Insured:If you are an uninsured patient, the Financial Coordinator will estimate the cost of your surgery. At that time, you are required to pay at least 50 percent of the estimated charge. The surgery will be scheduled after the deposit has been received. The balance should be paid within 60 days or a monthly payment arrangement can be made.
Billing Procedures
As a courtesy, our office will submit your insurance claim on your behalf. Therefore, it is essential that we have complete and accurate information about your insurance carrier. Please remember that your insurance policy is an agreement between you and the insurance company. No insurance company attempts to cover all medical costs. Some pay fixed allowances for certain procedures; others pay a percentage of the charge. It is your responsibility to pay any balance not paid or covered by your insurance. If your insurance carrier sends you payment for our services, please sign over the check to RALEIGH NEUROSURGICAL CLINIC, Inc. or you will be billed for the balance.
Billing and Collection Process
Our Billing and Collections Department is able to help you with any questions you may have. You can contact them anytime between 9 a.m. and 5 p.m. at 919-785-3400.
You will receive a monthly statement from our office. It notes any insurance/patient balances and payments made within the last 30 days. Please review the statement for accuracy and contact your insurance company regarding any outstanding claims. Please understand that our services are separate from the hospital; therefore, you will receive a statement from us as well as from those of the hospital.
Delinquent Accounts
Any outstanding patient balances with no payment or activity for 60 days will result in a turnover of your account to an outside collection agency. We will make every effort to negotiate a payment arrangement with you before this happens.
Forms and Medical Records
If you need our office to complete any forms for disability or work purposes, there will be a $10 charge to be collected before the form’s completion. If you require a copy of your medical records, you must sign a Medical Records Release of Information form and a payment of $10 will be required.