Raleigh Neurosurgical Clinic: Financial Policy

Welcome

Financial Policy

We accept the following forms of payments: cash, check, MasterCard, Visa, Discover, American Express, and debit cards.

Thank you for choosing us as your health care provider. We are 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 clients, we offer this brochure outlining some of the policies followed by Raleigh Neurosurgical Clinic, Inc.

All patients must complete and sign all check-in forms before seeing the doctor. For your appointment, please bring any x-rays or MRI films related to your condition. You are required to bring your insurance card(s) to every visit so that a copy can be made for your chart. Be sure to inform the front desk staff of any changes in address, phone numbers, or insurance coverage.

Office Visits

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 co-insurance amounts will be collected before you are seen by the physician. Failure to pay your co-pay or co-insurance will result in your appointment being rescheduled.

Authorization for office visits: If your insurance requires authorization to see a specialist it is your responsibility to make sure this is received in our office prior to your appointment. Your visit will be rescheduled or a wavier must be signed making you responsible for payment if authorization is not obtained prior to 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 have your adjuster call and give information about your case prior to your appointment. Failure to provide this information will result in your visit being rescheduled.

Third Party Payors: 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: If you are a non-insured patient, you will be required to pay the full amount before being seen by the physician. On average, office visits are $110.00 for established patients and $220.00 for new patients. Your appointment will be rescheduled if you are unable to pay for your visit at the time of service.

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 $50.00 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 Raleigh Neurosurgical Clinic participates, 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 with or non-managed care plans will be treated as a commercial plan. 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 a non-insured patient, the Financial Coordinator will estimate the cost of your surgery. At that time, you are required to pay at least 50% of the estimated charge. The surgery will be scheduled after the deposit has been received. Upon making your down payment, the balance should be paid within 60 days or a monthly payment arrangement 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.

Collection Process: Our Billing and Collections Department is able to help you with any questions you may have. You may contact them anytime between 9 AM and 5 PM 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 the hospital.

Delinquent Accounts: Any outstanding patient balances with no payment or activity for 60 days will result in your account being turned over to an outside collection agency. We will make every effort to negotiate a payment arrangement with you prior to this action taking place.

Forms and Medical Records

If you require our office to complete any forms for disability or work purposes there will be a $10.00 charge to be collected prior to the form being completed. If you require a copy of your medical records you must sign a Medical Records Release of Information form and a payment of $10.00 will be required.