Billing Policies and Payment Information

Our policy is to collect any co-payments at the time of your visit. You may pay by cash, check, VISA, Discover, or MasterCard. If you are not able to make your payment at the time of your visit, please call the office to make arrangements.

To assure accuracy, please make sure all your insurance information is up-to-date. Usually all the information needed is found on your insurance card. Please familiarize yourself with the coverage provided by your particular insurance plan. In addition, please bring your insurance card with you on each visit so that we can verify coverage and file a copy in your chart. As a courtesy, our practice will file your insurance at no charge. However, a signed authorization form is requested in order to file charges. We participate in most managed care plans, i.e. HMO's and PPO's.

If you have a managed care insurance plan that requires referral authorization from your primary care physician, you are responsible for bringing the referral form from your primary care physician. If you do not obtain a referral authorization from your primary care physician, you may be responsible for the entire bill.

For our Medicare patients, our physicians accept "assignment" which means Medicare will pay us directly for 80% of the Medicare "allowable" charges. The patient is responsible to pay his/her annual deductible and 20% of allowable charges (or the co-payment). If a Medicare patient has supplemental insurance, we will file this insurance after receiving payment from Medicare. The patient is still responsible for the annual deductible. If Medicare is the secondary insurance, we will file it after we receive payment from the primary insurance.

Since we are a division of the Moses Cone Health System, any billing or insurance related questions should be directed to their billing department at 336-832-3677.

If you have any disability, FMLA, return to work notices or any other forms, we will be happy to assist you in filling them out. There is a $29.00 fee for filling out disability forms. Please allow us 10 to 14 business days if any forms need to be filled out.