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Billing and Insurance Information
Pulmonary & Medicine of Dayton physicians are contracted
with most major insurance carriers and all insurance claims will be
submitted to any insurance carrier (contracted or non-contracted -if
possible) as a courtesy to the patient. It is the responsibility of
the patient or sponsor to know the specific requirements and
limitations of the coverage of the insurance plan held. Specific requirements may
include, but are not limited to, the need for obtaining a physician
referral or prior authorization for office visits, outpatient
testing, and/or hospital admissions.
Questions about insurance coverage and insurance
payment or non-payment for services rendered should be directed to
the insurance carrier to whom claims are submitted.
Payment of co-payments is expected at the time of
service per the insurance plan requirement. The co-payment is considered
to be a portion of the payment rendered to the physician for
services received, and therefore; cannot be waived or reduced per
the contractual agreement between the insurance carrier and
Pulmonary Medicine of Dayton. A
statement will be mailed to any patient with a balance not billable
to insurance. Payment of the
balance due is expected, in full, immediately on receipt of the
statement. If you are unable to pay a bill in full, you must call us
before your bill is past due to make payment
arrangements.
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