Thank you for choosing us as your healthcare provider. We are committed to providing you with the best possible medical care. Your clear understanding of our practice financial policy is important to our professional relationship. We make every effort to keep our fees reasonable while at the same time covering the cost of the services we provide. Payment of your bill is considered part of your overall treatment. In order to keep healthcare costs to an absolute minimum, we have adopted the following policies.
Fees and Payments
Fees are standard and based on the complexity of your visit. Payment in full is required at the time of your visit and can be made with cash, personal check, money order, Visa, MasterCard, or Discover. Insurance co-payments and deductibles are due at the time of service. We will not bill your secondary insurance for co-payments. If you are unable to pay your co-payment/deductible at your visit, your appointment may need to be rescheduled.
Deductibles: Because more insurance companies are issuing policies with very high deductibles, we will need to collect deductibles that have not been met at time of service. We will be collecting up to $50.00 towards your deductible. Anything over paid or under paid will either be refunded or billed to you accordingly.
While filing insurance claims is a courtesy that we extend to our patients, all charges are your responsibility from the date services are rendered. Your insurance is a contract between you, your employer and the insurance company, we are not party to that contract. Before your visit, contact your insurance company to verify that we are participants in your plan, and that the services you intend to receive are covered. In order for us to file a claim, you must present a CURRENT copy of your Insurance Card at each visit and communicate any changes in your personal information.
Not all services are a covered benefit in all policies, so it is very important that you understand the provisions of your individual policy. It is virtually impossible for us to have knowledge of what services each insurance plan covers. Knowing your insurance benefits is your responsibility. Insurance companies decide on different services that they will not cover; therefore we can’t guarantee payment of all claims by your insurance company. Reduction or rejection of your claim does not relieve you of your financial responsibility unless required by law or our contract with your insurance company.
PLEASE NOTE: Each visit is documented in your medical record and a diagnosis is made by the provider. Diagnoses are made based on medical information, not based on the availability of coverage by Insurance Companies. To request a diagnosis change solely for the purpose of securing reimbursement from an insurance carrier is inappropriate and is considered insurance fraud.
Required at Check-In:
- Verify Personal ContactInformation
- Present Current Copy of Insurance Card
- Present Current Picture ID
- Payment of any Outstanding Balance
- Payment of Today’s Visit
We will verify your coverage at each visit. If we are unable to do so, you will be considered self-pay and will be responsible for the cost of your visit.
In order to address the needs of our patients without insurance and patients with coverage limitations, we offer a discount off our standard fees. This discount reflects the lower cost involved in billing and collections when a claim does not need to be submitted to a third party payer. In order to qualify, payment needs to be made in FULL prior to or on completion of your visit or procedure. Any remaining balance is not eligible for a discount. This discount applies to all medical services provided and is offered only at time of service.
Medicare and Medicaid
We gladly accept Medicare patients and will bill our services at the allowed rate. Medicare regulations may require that you sign an Advanced Beneficiary Notice (ABN) acknowledging that you will be financially responsible for the cost of the visit if we have reasonable doubt that Medicare will make payment for a particular service. Lab work that may not be covered will require a separate ABN signature. If you refuse to sign the ABN, we will be unable to provide the service. We gladly accept patients with Maryland Medicaid and Managed Care Organization (MCO) as well. Your current ID card must be presented at each visit. IT IS YOUR RESPONSIBILITY TO PROVIDE THE CURRENT INFORMATION AT EACH VISIT.
Please verify that your insurance will cover these preventative services before making your appointment. Depending on your age and the plan, these services may not be covered especially when performed at an Urgent Care Clinic. Additional cost may arise due to utilizing an Urgent Care Center for Primary Care Services. Also, some insurance companies are very strict in enforcing time limits between visits and may not cover your visit if you are even one day early.
In order to be in compliance with Maryland State law and HIPAA regulations, we charge a per page charge, payable in advance, if you would like a copy of your records sent to you or another physician. If you request an electronic copy of your records, we will charge a reasonable fee based on the cost of producing the copy. The medical record copy fee policy is available upon request. As always, if a collaborating physician (primary care or specialist) requests portions of your record to assist in your care, there is no charge.
Interest Charge – All delinquent accounts past 30 days are subject to a 6% interest rate.
Returned Check Charge – Non Sufficient Funds (NSF) checks are subject to a $25.00 fee (in addition to fees from your bank).
Collections Charge -Accounts that are not paid within 60 days from due date may be sent to our Internal Collection unit and reported to the Credit Bureau. In addition to your outstanding balance, a $25.00 charge will be added to cover our costs. In addition, you may be terminated from the practice and refused service until your account is current. Should the account be referred to an attorney or sent to small claims court for collection, it will be patient’s responsibility to pay reasonable attorney fees, court costs and collection expenses.
Lab Charges -– Depending on your insurance, you may get a separate bill from the lab facility that performs your lab work. These charges should be discussed directly with the Lab facility.
Patient Refunds are processed at the end of the month. Any account that has outstanding claims will not be eligible for a refund.
We are contracted with some Insurance Companies to charge a Facility fee, Urgent Care Global Fee, in addition to your visit and procedures done in our office. Our agreement with your insurance allows us to charge lower rates than Hospitals which help to keep your premium rates lower.
WE UNDERSTAND FINANCIAL DIFFICULTIES AND ARE OFFERING PAYMENT PLANS
PLEASE CONTACT OUR BILLING OFFICE AT
P: (301)330-0006 BILLING@ALLDAYMEDICALCLINIC.COM