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Patient Information: Insurance and Billing

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Policy on Insurance and Billing
Insurance Office 702-732-8477 We have trained staff to deal with your insurance and billing matters, whether it be private insurance, Medicare, industrial, PPO or other coverage.

DOC will bill your insurance for surgeon fees, doctor's services provided in the hospital and office charges if we participate with your insurance plan.

If you are in a health plan that we do not participate in, please be prepared to pay the first $300 prior to seeing the doctor and the balance paid at checkout after your visit. If the charges are less than $300, you will be refunded the overage.

At the time of your appointment, please be prepared to pay any co-payments, co-insurance charges or unmet deductibles as required by your insurance policy.

We ask for advance payment prior to surgery if you have inadequate or no insurance coverage. The fee for surgery will normally include your post operative office visits for a period of three months.

Due to our rising patient population and rapid growth in the Las Vegas area, we request 48-72 hours for accurate completion of insurance forms for disability, etc. Allowing this time period will enable our medical staff to focus on the patient's immediate care needs at the time of their appointment.

Charges for Treatment
Our fees are based on our knowledge, skill and services provided and are considered those prevailing in this community for services of an orthopaedic surgeon. If you have any questions about our fees, please feel free to discuss them with an account representative in our business office prior to your appointment. Having financial matters clear from the onset is preferable to encountering difficulties later on.

Credit Policy
All charges are expected to be paid on date of service.

We appreciate your payment for office visits at the same time of service

Desert Orthopaedic Center cannot accept the responsibility for collecting your insurance claim nor negotiating a settlement for a disputed claim such as an automobile accident-related injury. Financial responsibility for our services rests with the patient or responsible party at the time of service, regardless of any insurance coverage.

You will receive a monthly statement from our office to inform you of the current status of your account. If you require assistance with insurance claims or with payment of your bill, please contact our Insurance Office at 732-8477. We will always attempt to work out an acceptable payment plan if your financial situation requires.

If you have arranged an installment payment plan with an Account Representative at 732-8477, minimum monthly payments of $ 20.00 are required on account balances less that $100. On accounts of $100 or more, a minimum of 20% of the outstanding balance is required each month until the account is paid.

For your convenience, we accept MasterCard, VISA, American Express and Discover.

DOC participates with Tri Care and Medicare. Medicare assignment and the Medicare approved fee is automatically accepted. Supplemental insurance policies can be used to cover the 20% not covered by Medicare, and any non-covered amount the patient is required to pay.

Telephoning Us
Main Number: 702-731-1616

The staff has been instructed to handle all incoming telephone calls. This allows the physician to attend to patients who are in the office with a minimum of interruptions. Your medical record may need to be reviewed before your call can be returned. Please be patient. If the situation is truly an emergency, please indicate this to the operator.

When you call with a specific question, please tell the operator exactly what information you need so she may connect you with the proper person.

Emergencies
Phone 702-731-1616 anytime. One of the doctors in the group is always available for advice or care for true orthopaedic emergencies. After office hours, our answering service will take your message and immediately contact one of our surgeons. Our telephone number is answered 24 hours a day, 7 days a week.
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