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PAYMENT POLICY FOR PRIOR AUTHORIZATIONS, REFERRALS, AND DEDUCTIBLES (Effective 8/12/22)

Payment Policy

FOR OUR PATIENTS WITH A NEED FOR PRIOR AUTHORIZATION OR REFERRAL:

PLEASE VERIFY WHETHER YOUR INSURANCE NEEDS A PRIOR AUTHORIZATION OR REFERRAL, PRIOR TO YOUR SCHEDULED VISIT.

  • YES? THEN THIS NEEDS TO BE OBTAINED PRIOR TO YOUR SCHEDULED VISIT, OTHERWISE, YOUR INSURANCE CLAIM MAY BE DENIED.  
  • IF YOUR CLAIM IS DENIED, YOU WILL BE BILLED FOR THE FULL AMOUNT OF YOUR VISIT COST.

FOR OUR PATIENTS WITH UNMET DEDUCTIBLES:

MANY INSURANCE PLANS CARRY SOME SORT OF DEDUCTIBLE.  YOU CAN CONTACT YOUR INSURANCE CARRIER TO FIND OUT THE AMOUNT OF YOUR DEDUCTIBLE AND WHAT YOU STILL OWE FOR THE YEAR.

IF YOU HAVE AN UNMET DEDUCTIBLE AND WE RECOMMEND SURGERY:

YOU WILL BE PROVIDED WITH AN ESTIMATED COST OF THE PROPOSED SURGERY AT YOUR PREOPERATIVE CLINIC VISIT. 

PRIOR TO SURGERY, PATIENTS WITH OUTSTANDING DEDUCTIBLES WILL BE REQUIRED TO PAY 50% OF THE MEDICARE ALLOWABLE COST FOR THE PROPOSED SURGERY OR THE REMAINING BALANCE OF THE DEDUCTIBLE (IF LESS THAN THE 50% PROPOSED COST OF SURGERY). 

YOU WILL THEN BE BILLED FOR THE REMAINING COST AFTER THE COMPLETION OF THE PROCEDURE.

IF YOU CANNOT PAY 50% OF PROPOSED COST, PLEASE LET US KNOW, AND WE WILL WORK OUT A PAYMENT PLAN FOR THE COST OF THE SURGERY, WHICH WILL INCLUDE A DOWNPAYMENT AT THE TIME OF SCHEDULING.

Payment Options

  • CREDIT OR DEBIT CARDS ARE CURRENTLY THE ONLY ACCEPTABLE FORMS OF PAYMENT AVAILABLE, AT THIS TIME.
  • PAYMENT PLANS AVAILABALE UPON REQUEST.
  • CARE CREDIT – 0% INTEREST CREDIT CARD FINANCING:

Overpayments:

PLEASE NOTE: WE WILL ISSUE A REFUND CHECK WITHIN 45 DAYS FOR ANY OVERPAYMENT FOR SERVICES, THAT RESULT FROM HAVING ALREADY MET YOUR DEDUCTIBLE.


ON BEHALF OF ALL OF US AT PITTSBURGH HAND AND NERVE, P.C., WE THANK YOU FOR ENTRUSTING US WITH YOUR CARE