Office Fees and Payment Policy
Office charges and/or applicable copayments or deductibles are to be paid on the day of service. For your convenience, we accept cash, personal checks, MasterCard, Visa, Discover and American Express. Financial responsibility for services received at Family Health Center rests with the patient or his/her guardian, regardless of insurance coverage.
Our physicians welcome Medicare patients. Family Health Center has contracts with a number of insurance plans, managed care organizations and HMOS. Our office will submit itemized claims to these insurance carriers. While Family Health Center makes every effort to collect payment from your insurance carrier, we cannot always determine if an office visit or a specific procedure will be a covered service. Benefits are determined by your plan. Should an occasion arise when your carrier disallows a non-covered service, this balance will become your responsibility to pay.
Prior to leaving our office, a receipt will be prepared for you showing an itemization of charges and the necessary diagnoses and insurance codes required for reimbursement by your private insurance company. If your insurance company pays us in error, we will refund the payment to you. We know questions can arise on insurance matters and our business office staff is available to assist you.
Charges for Hospital Care
As a courtesy to our patients, we will submit all physician inpatient hospital charges to your insurance carrier for payment. Once the insurance payment is received we will forward a statement to you reflecting the balance owed on the account. If the insurance payment is not received within 45 days of the claim submission, you will be responsible for the payment.
Outside Lab and Pathology
On occasion, our office will send your blood or pathology specimens to an outside laboratory. We do not monitor their billing practices. Please contact them directly should you receive a statement and have questions regarding submission of your claim.
Past Due Accounts
Your account will be considered past due if payment is not received within 90 days from the postmark of your first billing statement. If no payment arrangements have been made, appropriate action will be taken to recover the amount due.
Workers’ compensation patients must have authorization from their employer or insurance carrier prior to treatment. Please advise both the receptionist and the physician prior to treatment if your injury is the result of an on-the-job accident. Injured workers arriving at Family Health Center without authorization will be responsible for payment at the time of the visit. Injuries covered by workers’ compensation require that we have the following information: date and time of injury, how the accident occurred, employers’ name, address, and the employer or insurance carrier that is responsible for payment. We also require your personal insurance information along with a copy of your card, your social security number, and your date of birth. This information is important in case your claim is denied by workers’ compensation.
Release of Your Health Information
Reports concerning your health will not be released to an insurance company or any other third-party without your written authorization.
Treatment of Minors
Family Health Center is available to treat minors after authorization has been received from the responsible parent or guardian. We cannot offer services to any patient under the age of 18 without written consent for treatment. We ask that a parent accompany minor children to their appointments. Should the occasion arise when a child must be treated and an adult is unavailable, please make our receptionist aware of the circumstances.