FINANCIAL POLICY
We appreciate payment at the time of service and will accept personal checks, cash, and credit cards. As a courtesy to you, we will process your claim with your insurance company. Please note that insurance is a contract between you and your insurance company. While we may be the service provider, we are not party to that contract. Not all services are covered benefits in all insurance plans. In some cases, you may be responsible for amounts not covered by insurance such as the deductible, copayment, coinsurance, and any unpaid balance. We will make every effort to verify your insurance coverage prior to any procedures and relay this information to you. If you have any questions or are uncertain as to your insurance coverage, please do not hesitate to contact us for assistance.
Referrals: Please note that some health plans require a referral from your primary care physician to obtain the services of a specialist, such as a cardiologist or a neurologist. These health plans will not pay for services rendered without the referral. It is your responsibility to obtain a referral prior to treatment. If you have not obtained the necessary referral, you may either reschedule your appointment once the referral is obtained or pay the full amount at the time of the office visit.
Payment Options
Insured Patients: We require that you present a current copy of your insurance card to the receptionist at the time of service. Although we may estimate the amount that you and your insurance carrier owe for services rendered, it is your insurance company that ultimately makes the final determination of eligibility and payment. Once your claim is processed by your insurer, any amounts not covered by insurance will be billed to you.
Private Pay / Uninsured Patients: You are expected to pay the full amount for services rendered at the time of service if: you do not have insurance coverage; your insurance carrier declines to cover the service; Denali Healthcare Specialists is not contracted with your insurer; or you are paid directly by your insurer.
Refunds:
If there is an overpayment for services rendered, we will refund the amount to you once all claims are settled on the account and no payment is due on any other claim.
Returned Checks:
A returned check fee of $20.00 will be assessed to your account for checks returned by the bank. If a returned check is received on your account, you will be required to pay all fees associated with this check in cash prior to scheduling a new appointment.
Account Balances:
If there is a balance on your account, we will send you a monthly statement. Balances are expected to be paid in full upon receipt of the statement. Payments not received within 30 days of receipt of the statement are considered past due. Accounts with balances outstanding for 90 days will be referred to a collection agency. If your account is sent to a collection agency, you may be subject to agency fees and penalties.
Disputes:
Any disputes of your account should be submitted in writing within 30 days of receipt of the monthly statement. You will be notified of the outcome within 14 days of receipt of your submission.