Fee Schedule for Uncovered Medical Services

 

NC Pain Management Services, PA is dedicated to serving our patients with the highest quality of care at the lowest possible cost. We ask that you help keep our fees at a competitive level by observing the following financial policy. The purpose of this statement is to help you understand our policy in relation to Pain Clinic charges. We encourage open discussion of services and fees prior to treatment. It is your ultimate responsibility to see that all charges are paid.

 

The following fee schedule will apply to those services not covered by the clientís medical insurance. In those cases where the insurance covers for the service, they will be billed to them, as per any other covered service. When services are not covered by the insurance carrier, the patient or client will be responsible for payment. This financial policy information is specific for NC Pain Management Services, PA and therefore any questions should be directed to our physician billing service, currently ìPractice Solutions LLCî, at our toll free number 1-800-427-7487.

 

Since insurance plans vary, we recommend that you be familiar with your plan benefits as they relate to deductibles, co-pays, non-allowed charges, and pre-certification. Your insurance coverage represents a contract between you and your insurance carrier. If you have an insurance policy, such as an HMO/PPO that requires pre-certification / pre-authorization or referrals for any service, including office visits, it is your responsibility to obtain it, update it, and keep them current. If you need any help, our staff will be more than happy to help you through the process. In your insurance card there will be a telephone number, which is the number that you should call for pre-approvals or information on deductibles, co-pays, allowable, and pre-certification. You can also use this number to find out what your insurance company allowable is, for the proposed treatment. If you have any questions about the requirements of your coverage, please contact your employer or insurance carrier. We cannot interpret policies for you. Remember that the difference between the allowable and the cost of the treatment will be your personal responsibility. You will be responsible for services rendered that are outside the scope of any referral issued by your insurance carrier. You are expected to be aware of any and all conditions of your insurance coverage. Please provide us with information on any secondary insurance coverage that you may have, as they may cover the difference.

 

Your payment or co-pay is due at the time of your service. This may be paid in cash, with a check, at the time of your service, or it may be paid using your credit card, within two (2) weeks of your service. Please indicate your preference to the receptionist, at the time of your service.

 

Click here for: FEE SCHEDULE FOR DEPOSITIONS AND Other Legal Services

 

For the following list, click on each item for further information and restrictions:

 

 

Copies of medical records

Service provided by Hospital, at a cost. Call Patient Accounting Office: 336-538-8400

 

Detailed Letters

$65.00 (per page)

 

Disabled Parking Forms

$20.00 (Only given to patients in wheelchairs)

 

Impairment or Disability Rating Evaluations

$250.00 (per hour or fraction there of.)

 

Life insurance Forms

$20.00 (Payment should be handed in with paperwork to be completed)

 

Medical Advice by telephone

$63.40 (per every 15 minutes, or fractions there of)

 

Missed Pump Refill

$50.00 + cost of the wasted medication (could be up to $400.00)

 

No-shows or Missed Appointments

$50.00

 

No-shows or Missed Procedures

$100.00 (without adequate notification)

 

No-shows to scheduled studies or referrals

$20.00

 

Paperwork for patient assistance programs

Free service provided by Hospital

 

Phone calls to nurses, initiated or requested by patient

Free service provided by Hospital

 

Phone calls to physician, initiated or requested by patient

$63.40 (per every 15 minutes, or fractions there of)

 

Phone calls with Family Members

We can receive information, but we can not give any. Restricted by Privacy Laws.

 

Phone consults to other physicians, requested by patient

$63.40 (per every 15 minutes, or fractions there of)

 

Preauthorization

Free service provided by Hospital

 

Private Insurance Forms (including travel insurance)

$20.00 (Payment should be handed in with paperwork to be completed)

 

Refills or prescription changes handled outside of an office visit

$50.00

 

Renewal of Prescription by phone

No Phone refills. If done under extraordinary circumstances - $25.00

 

Sick notes for school or work

$10.00 (No charge for those given at procedures or visits)

 

Sickness & Disability Forms

$20.00 (Payment should be handed in with paperwork to be completed)