The Shoulder Center is dedicated to providing the best possible care
for you and want you to completely understand our financial policies.
Payment is due at the time of service unless other arrangements have
been made in advance. For your convenience, we accept MasterCard,
VISA, Discover, AmericanExpress, Debit Cards, CareCredit, Checks and
Cash.
Keep in mind that your insurance policy is a contract between you
and your insurance company. As a service to you, we will file
your insurance claim if you assign the benefits to The Shoulder Center-
in other words, if you agree to have your insurance company pay The
Shoulder Center directly. If your insurance company does not
pay The Shoulder Center within a reasonable period, you are responsible
for the payment. If we later receive a check from your insurer,
we will refund any overpayment to you.
In accordance with Federal Law, we cannot write off deductibles and
co-pays. Your Insurance Carrier requires us to collect applicable
co-pays and deductibles at the time of service. Therefore,
you will need to pay all applicable co-pays and deductibles at your
initial and subsequent office visits. Once your insurance has
processed your claims, if there is any remaining patient balance due,
you will receive 1 statement. Payment in full will be expected within
30 days.
All health plans are not the same and do not cover the same services. In
the event your health plan determines a service to be "not covered",
you will be responsible for the complete charge. Payment is due
upon receipt of a statement from our office. We highly recommend
that you READ YOUR INSURANCE BOOKLET or a copy of
the contract your policy falls under to determine your benefits.
You will be responsible for promptly responding to your insurance
company to provide any additional information they may request regarding
your treatment, pre-existing conditions, accidents or other insurance
coverage. Failure to respond in a timely manner may result in
your account becoming due and payable, in full, immediately.
Be prepared to present your insurance card and proof of identity
(e.g. driver's license) at each visit. You will be responsible
for providing a change of address, telephone number and/or insurance
information anytime a change occurs.
A prepayment of your deductible and coinsurance will be required
for your portion of our fees, based on our contract allowables, for
scheduled surgical procedures. Any balance remaining, after your
health plan pays, is your responsibility. Payment is due upon
receipt of a statement from our office.
If you have been injured at work: If you have
had an injury on the job your employer should provide a form to you
or may fax it directly to us at (317) 344-1218 that includes their
Worker’s Compensation Insurance Information, complete billing
information and their authorization for treatment. We must have
this signed authorization prior to you being seen.
If you have been injured in an auto accident: We DO
NOT file motor vehicle accident claims. Payment is expected IN
FULL at each office visit and prior to any procedures being
performed. If surgery is required, you will be expected to
pay the estimated cost prior to the surgery being scheduled. We will
be glad to provide you with any documents you need to file your claim.
If you do not have health coverage: Your initial
office visit charge and any other service provided to you must be paid
at the time of service. Because we do not know in advance all
the treatment options your condition will require, we have estimated
that the initial office visit will cost approximately $150. Therefore,
we ask that you bring at least $150 with you on your initial visit. We
will require that you pay the $150 prior to being seen. Should
your initial visit cost less than this amount, we will promptly refund
that portion of your advance payment to you before you leave. Please
be aware that Injections, Treatments, and Supplies may generate additional
charges. These charges will be discussed with you prior to the
treatment and payment in full will be expected at the time
of service.
Prior approval and eligibility: If you have
insurance The Shoulder Center will verify your eligibility prior to
your office visit. If we are unable to verify your eligibility
and benefits, full payment for our services is due
at the time of service. If we later receive a check from your insurer,
we will refund any overpayment to you. Certain services we
recommend may require prior approval by your insurance company. This
includes MRIs, CT scans, bone scans, certain injections, nerve conduction
tests, certain prescriptions, and almost all surgeries. This
process may take a day or two or sometimes even longer to complete. We
understand this process can be very frustrating and ask you to help
us by providing updated and accurate information when requested and
prior to each visit.
If you have any questions or concerns, please contact
us.