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WELCOME
The LCA Pain Clinic welcomes you. Our goal
is to bring you relief from your pain by providing the highest quality of
health care.
Please take a few moments to read our
financial
responsibility policy.
MISSED APPOINTMENTS
There will be a $50 fee assessed for missing a scheduled
appointment. This fee will be waived if the
appointment is cancelled or rescheduled more than 24
hours in advance. Scheduling changes may be made
by calling (319) 743-7301 or 1-800-330-9849.
CHARGES
Charges for services, including office visits and
procedures are based upon the severity and
complexity of your procedure and
care. Regardless of your medical insurance coverage,
our practice relies on you to settle your account.
You will receive charges from both the physician and the
hospital. If you do not have insurance, payment arrangements are
available. Please contact one of our representatives at
Anesthesiologists Office Service, Inc. (319) 743-7300 to
make payment arrangements for our physician charges.
INSURANCE
Private/Government Insurance
If we are provided with accurate, detailed information,
we
will file an insurance claim with your private
insurance or
government carrier. However, you are responsible for the
following:
-
Obtaining appropriate referrals, authorizations, or
pre-certifications from your health insurance carrier.
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Co-payments, deductibles, coinsurance, or services not
covered by contracted carriers. These
amounts will be
billed to you once insurance has processed your claim.
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For non-contracted insurance carriers, any balance remaining between our charge and the
insurance payment.
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If the insurance company is unable to process a claim
due to missing information from you, you are responsible
for the bill.
Most health insurance plans establish networks of
contracted healthcare providers. Discounted fee
arrangements and prompt payment guarantees, among other
provisions, are normally part of those contracts.
The following is a listing of insurance plans with which
LCA Pain Clinic PC physicians
have
contracts:
We contract (participate)
with the following insurance plans:
|
Auxiant
FocusHealth |
Medicare |
|
Benefits
Management Group |
Midlands Choice |
|
Coventry HMO & PPO |
OHARA
Workers Compensation PPO |
|
First Health (but
not workers compensation) |
Principal |
|
FocusHealth |
Priority Health
Network |
|
Health Alliance |
USA Managed Care |
|
Interplan |
UnitedHealthcare of the River Valley Inc.
(ONLY), formerly John Deere Health Care |
|
John Deere Health
Care |
Wellmark HMO (BlueCross
BlueShield) |
|
Medicaid and
Medipass |
Wellmark PPO &
Indemnity (BlueCross
BlueShield) |
We strive to reach agreement and contract with all
insurance carriers. However there are some
insurance companies with which we have not established
contractual arrangements. If you are insured by
one of these carriers, please be aware that your
insurance company may process our charges at a lower
benefit level or
even without any insurance benefits. If possible,
please contact your insurance company prior to your care
to determine if alternate processing is available.
Also be aware that certain insurance carriers choose to
limit their benefits to amounts they determine to be
"Usual and Customary Rate" or "UCR." When this
occurs, you will be held responsible for any difference
between the charged amount and the amount allowed as UCR
by the insurance company. We will assist you
in
any warranted appeal process you wish to undertake with your
insurance carrier. Please contact our billing
office at (319) 743-7300 for assistance.
We do NOT
contract (participate) with the following insurance plans:
|
Beech Street |
SouthCare
HealthCare Preferred |
|
CCN |
UnitedHealthcare
HMO & PPO |
|
PHCS |
|
Workers Compensation
Upon receiving workers compensation information from
you, we will file an insurance claim with your
employer.
If your employer denies your claim, we will
file your claim with your health insurance carrier, if
that information
has been provided. Involvement of
legal counsel will not mitigate your responsibility for
your charges. You are ultimately responsible for
assuring payment for your care.
Third Party Liability
Due to unforeseeable delays in our legal system, your
claim may or may not be paid timely by a third-party you
consider responsible for its payment. Initially we will
file your claim with your liability insurance carrier.
If they
do not pay, we will then file with your health
insurance carrier if that information has been
provided. Please remember that you are responsible for
paying for your care.
Unpaid Balances and Uninsured Patients
Payment plans are available for those in need.
MasterCard, Visa and Discover are accepted. Please
contact
one of our representatives at Anesthesiologists
Office Service, Inc. (319) 743-7300 to make payment
arrangements for our physician charges.
Please note that return visits may be delayed if
balances remain unpaid or if payment arrangements are
not kept.
We utilize
a collection agency to assist us in collecting
overdue balances and ultimately unpaid services may
result in your being dismissed from this practice.
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