Billing & Insurance
We participate with most local and many national insurance plans. However it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.
If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.
Please contact our billing office or call your insurance carrier should you have questions.
Online Bill Pay
It is our goal to make every patient’s experience as smooth and convenient as possible, which is why we also offer an online payment method using our Bill Pay Form submissions.
Patient Financial Policy
Thank you for taking the time to familiarize yourself with our financial policy. Please feel free to discuss any questions or concerns with our Patient Financial Representatives at (585) 232-3210.
All missed or late cancellation of appointments will incur a $25 fee. Appointments cancelled with less than 24 hours notice are considered late cancellations.
- All patients must provide current information at every visit before seeing the provider.
- We ask that all patients take responsibility for understanding their insurance coverage and any associated co-payments or deductibles.
- Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates.
- We participate with numerous insurance plans. We request that all co-insurance and unmet deductible payments are paid at the time of service.
- We participate with numerous insurance plans. ALL CO-PAYMENTS MUST BE PAID AT THE TIME OF SERVICE AS REQUIRED BY YOUR INSURANCE CONTRACT. A $15.00 service charge will be added to your statement if payment is not received on the day of service.
- Any patient who is on a cash pay basis is required to make full payment at the time of the visit unless other arrangements have been made PRIOR to your appointment.
- When providing care to minors, the parent or guardian who is accompanying the minor is required to make full payment at the time of the visit. If the minor will not be accompanied to the appointment, please make arrangements to assure payment will be made at the time of the visit.
- If there is a balance due from a visit, a bill will be sent out. If that balance is not paid in full within 30 days, a 1.5% service charge will be added to your account based on the outstanding balance.
- We kindly ask for 24 hour notice if you are unable to keep an appointment. Please help us serve you and our other patients better by keeping scheduled appointments.
- We accept cash, check, debit cards, Visa and MasterCard, American Express and Discover.
- Returned checks are subject to a $40.00 charge and may terminate your privilege to pay using a check in the future.
No Surprises Act
If you don’t have health insurance or you plan to pay for health care bills yourself, generally, health care providers and facilities must give you an estimate of expected charges when you schedule an appointment for a health care item or service, or if you ask for an estimate. This is called a “good faith estimate.”
A good faith estimate isn’t a bill
The good faith estimate shows the list of expected charges for items or services from your provider or facility. Because the good faith estimate is based on information known at the time your provider or facility creates the estimate, it won’t include any unknown or unexpected costs that may be added during your treatment. Generally, the good faith estimate must include expected charges for:
- The primary item or service
- Any other items or services you’re reasonably expected to get as part of the primary item or service for that period of care.
The estimate might not include every item or service you get from another provider or facility, even if some items or services may seem connected to the same service. For example, if you’re getting surgery, the good faith estimate could include the cost of the surgery, anesthesia, any lab services, or tests.
In some cases, items or services related to the surgery that are scheduled separately, like certain presurgery appointments or physical therapy in the weeks after the surgery, might not be included in the good faith estimate. You’ll get a separate good faith estimate when you schedule those items or services with the provider or facility, or if you ask for it.
Your right to a good faith estimate
Providers and facilities must give you the good faith estimate:
- After you schedule a healthcare item or service. If you schedule an item or service at least 3 business days before the date you’ll get the item or service, the provider must give you a good faith estimate no later than 1 business day after scheduling. If you schedule the item or service OR ask for cost information about it at least 10 business days before the date you get the item or service, the provider or facility must give you a good faith estimate no later than 3 business days after you schedule or ask for the estimate.
- That includes a list of each item or service (with the provider or facility), and specific details, like the health care service code.
- In a way that’s accessible to you, like in large print, Braille, audio files, or other forms of
communication.
Providers and facilities must also explain the good faith estimate to you over the phone or in person if you ask, then follow up with a written (paper or electronic) estimate, per your preferred form of communication.
Keep the estimate in a safe place so you can compare it to any bills you get later. After you get a bill for the items or services, if the billed amount is $400 or more above the good faith estimate, you may be eligible to dispute the bill.
For more information, review an example of what a good faith estimate may include (PDF) and examples of good faith estimates that do and don’t qualify for the dispute process (PDF).