Thank you for choosing our practice! We are committed to the success of your medical treatment and care. Please understand that payment of your bill is part of this treatment and care.
All patients must complete our Patient Information Form. We believe that a good relationship is based on understanding and open communications. Our staff has been instructed to make every effort available to you to clarify any misunderstanding you have concerning your balance.
For your convenience, we have answered a variety of commonly-asked financial policy questions below. If you need further information about any of these policies, please ask to speak with our Billing Specialist or the Practice Manager.
Appointments
Please call 303-444-0840 to make an appointment.
Office Hours:
Routine office hours are 8:00 AM to 4:00 PM Monday through Friday. If you have an urgent problem or an emergency, day or night, call our office number. One of our physicians is available 24 hours a day, including holidays and weekends.
Phone calls:
Routine phone calls are returned by the office nurse in consultation with the physician in the office that day.
Non-urgent phone calls to either doctor will be returned on her next scheduled day in the office.
Prescription Renewal
Call your pharmacy for prescription refills. Please allow 48 hours for prescription renewals to be phoned from our office to your pharmacy. No renewals over the weekend. Please call by 2:00 PM Friday.
Payment Terms
It is our policy that fees due from patients, including insurance co-pay and deductible, are due at the time of service.
If you do not have insurance, payment is due in full at the time of service .
Please take into consideration: deductibles, co-pays and co-insurance, unique to your insurance plan.
Please call 303-444-0840 with any questions.
Insurance/Patient Responsibility
How May I Pay?
We accept payment by cash, check, VISA, MasterCard and Discover. For your convenience, our billing office is staffed Monday through Friday from 8:00 AM to 4:30 PM. The phone number is 877-320-1692. You are expected to make payment in full upon receipt of a billing showing your balance due or according to the terms below:
Balance Due Terms $1-10,000 Payment in full within 30 days
Other payment plans or options may be available upon completion of a financial statement analysis. Please contact our Patient Financial Services for this information. A monthly billing charge will be added to all accounts not paid in full within 45 days of service.
When is my account delinquent?
An account is considered past due 30 days following billing unless other arrangements have been made. Unpaid accounts beyond 120 days are considered delinquent and may be forwarded to our collection agency and will be charged an $11.50 service/billing fee.
Are there Service Charges?
If the decision is made to see a patient, who does not have his/her co-pay or deductible a service charge of $5 will be added.
There will be a billing fee of $10.00 added to each statement billed after 75 days of service.
Copying of Chart
Their will be a service/copying fee of $5 - $50 added to each chart. Determination of cost depends on size of chart.
Phone Calls to Doctors
Our physicians will not be doing telephone Medicine; if you need to talk your doctor we will give you an appointment. Calling the doctors after hours will result in a charge which insurances do not pay-making you responsible.
Do I Need A Referral?
If you have an HMO plan with which we are contracted, you need a referral authorization from your primary care physician. If we have not received an authorization prior to your arrival at the office, we have a telephone available for you to call your primary care physician to obtain it. If you are unable to obtain the referral, YOU will be rescheduled.
Your referring physician has received a request for important patient information what will have to be received before surgery can be scheduled. (If you see a specialist, especially cardiology, you may need to have information forwarded to this office to expedite your care.)
What Is My Financial Responsibility for Services?
Your financial responsibility depends on a variety of factors, explained on page 4. Claims that have not been paid in 45 days will be automatically billed to you and we can assist you in refilling your insurance at your request.
What about missed appointments?
We would appreciate your help and courtesy of a call if you are unable to keep an appointment. Please notify our office at least twenty-four (24) hours prior to the appointment time. We reserve the right to charge you a missed appointment fee of $50 and three (3) non canceled missed appointments are grounds for patient discharge.
Legal Fee:
Any patient sent to collections will be responsible for all collection fees. If a patient is taken to small claims court the patient will be responsible for all fees/charges.
Emergencies after hours
If you need medical care when the office is closed, please go to the ER. You will be escorted to the doctor's Payment Coordinator. She will answer specific questions about the process, discuss the paperwork and tests involved, and complete all pre-certification/authorization if your insurance company requires it.
The Coordinator will request a deposit, the amount of which depends on your coverage and deductible amount. A cost estimate which shows your financial responsibility, based on the benefit levels and coverage of your insurance plan, will be explained by the Coordinator.
What if My Child Needs to See the Physician?
A parent or legal guardian must accompany patients who are minors on the patient's first visit. This accompanying adult (who consents to the treatment) is responsible for payment of the account, according to the policy outlined on the previous pages. We will not be involved in separation/divorce disputes.
You will be escorted to the doctor's Payment Coordinator. She will answer specific questions about the process, discuss the paperwork and tests involved, and complete all pre-certification/authorization if your insurance company requires it.
The Coordinator will request a deposit, the amount of which depends on your coverage and deductible amount. A cost estimate which shows your financial responsibility, based on the benefit levels and coverage of your insurance plan, will be explained by the Coordinator.
Assignment of Benefits
You need to assign benefits/payments for your insurance payments to the doctor.
What is an ABN?
An ABN is a form that lets you know that you may have to pay for a service/test your doctor has ordered if you insurance refuses to pay for it. If you sign the ABN, the doctor’s office may bill you for the cost of the ancillary service/test.
Why do you want me to sign the ABN?
Although insurance programs pay for most services/tests, it won’t pay for some under certain circumstances. If that happens, the doctor’s office must ask the patient to pay. Consequently, patients are asked to sign an ABN whenever insurance appears likely to deny payment for the ancillary service/test the doctor has ordered.
If Insurance says the service/test isn’t medically necessary, then why perform it?
Your doctor has made a medical judgment that you need the service/test. When your doctor says a service/test is medically necessary, he/she considers your personal medical history, any medications you may be taking, and generally accepted medical practices. When insurance says a service/test isn’t medically necessary, it’s not making a medical decision about your health. It’s acting like an insurance company deciding what it will pay.
If we do not participate with your insurance company, payment is due at the time of service. We will give you a superbill which you can then turn in to your insurance company.
If your insurance company does not pay your bill within 45 days, we will expect payment from you directly. Please call our billing office 303-444-0840 and talk to Sara Mayer with any questions.
Overdue Accounts
Statements are sent monthly. If you are experiencing a financial hardship, contact our bookkeeping department immediately to discuss payment arrangements. Unless overdue payment arrangements have been made, overdue accounts may be released to an outside agency for collection.
