Financial Policy

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.
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