Calendar Wednesday, March 10, 2010

Insurance and Billing


We accept cash, personal checks, VISA, MasterCard, Discover, and American Express. There will be a $20 charge for returned checks.

TOSM is in network with most insurance plans. We verify benefits and inform you of your financial responsibility prior to beginning treatment.

ACCEPTED INSURANCE PLANS

• Medicare and most Medicare Advantage Plans

• Most Tenncares - Americhoice, Amerigroup, Bluecare, TnCare Select

• Blue Cross

• Cigna

• United Healthcare

• Aetna

• Great West

• Tricare Prime & Standard

• Healthspring

• Worker’s Compensation as approved

**** If your insurance is not listed, please call our office.

WORKER’S COMPENSATION

Injured workers have 100% coverage for accepted claims through their employer’s workers compensation insurance. Due to new workers compensation regulations, prior authorization for treatment may be required before the patient can begin the treatment process. We will work with the insurance company to obtain authorizations in a timely fashion.

SELF-PAY

For patients without insurance or who choose not to use their insurance, we have affordable payment options available. Payment will be due at the time of service. If you are unable to pay your balance in full, you will need to make prior arrangements with our Billing Coordinator or Office Manager before your appointment.

INSURANCE & CO-PAYS

Please bring your insurance card with you at the time of your appointment. For insurance plans that we contract, your carrier requires that all co-pays be paid prior to any services. The co-pay requirement cannot be waived by our practice, as it is a requirement placed on you by your insurance carrier. If you do not have your co-pay at the time of your visit, you may not be seen. If your insurance does not have a co-pay or is just a percentage of your charges, then you must be able to pay $25 per visit. You are responsible for co-insurance, deductibles, or any non-covered services as required by your insurance. If you have more than one insurance, it is your responsibility to inform us. You will receive a statement from our office indicating what your insurance has or has not paid. If we do not receive payment from your insurance company, you will be expected to pay the balance in full. You are responsible for all charges. Any remaining balance is due upon receipt of statement.

OUTSTANDING BALANCE

Patients with an outstanding balance of 60 days overdue must make arrangements for payment prior to scheduling appointments. We realize our patients may have financial difficulty, please communicate with our billing staff so that they may assist you in creating a financial plan. If your account becomes delinquent, all collection and attorney fees may be added to your account. Our office policy states a patient may not be allowed to see the doctor until past due balances have been addressed.

BILLING QUESTIONS

If you should need assistance or have any questions concerning your bill, please call (931) 455-8676 between 8 am -4 pm, Monday thru Friday.