We understand how helpful it can be to know in advance how payment arrangements are handled when a visit to the doctor’s office is necessary. Outlined below are our basic financial policies.
Premier Care for Women requires a copy of your insurance card and co-payment at the time of check in before your visit with the physician begins.
If we participate in your insurance plan, we will file your charges with your insurance company on your behalf. If we do not participate in your insurance plan, payment for services rendered is collected at time of service.
***We are pleased to offer our uninsured patients or those patients who have insurance in which we do not participate a 30% discount on office visits and bone density studies in an effort to help defray their healthcare costs. This discount applies to the cost of the office visit only and does not include ancillary services performed such as PapSures, urinanalysis, pregnancy tests, injection administration, hemoglobin, for example, or any procedures performed during an office visit. Examples of procedures are ultrasounds, lesion removals, colposcopy, cystoscopy, LEEP, urodynamics, etc. The discount does not apply to outside lab charges for Pap smears, blood tests, or pathologies, etc. Please note that any claim filed by the patient for the visit upon which the 30% discount was applied, will not be eligible for any additional discounts or refund of the original payment made.***
After we file your insurance, we will wait 60 days for payment from your insurance company. If payment has not been received in 60 days, we will turn the account over to patient responsibility. We ask that you follow up with your insurance company to make sure your claims are processed timely. Please communicate your findings to us so that we may remain on a sound financial footing.
We assess a $10 per month late charge/billing fee on all patient balances not paid within 60 days. Although we are reluctant to do so, we utilize a collection agency for accounts not paid within 120 days. Once an account has been sent to the collection agency, it cannot be retrieved. Your insurance company will respond to your inquiries more quickly than ours. We have found that patients who maintain timely communication with their insurance company to ensure their claim is processed appropriately are able to avoid the collections process. Prompt payment of any balances remaining after insurance has paid will keep your account in good standing.
Charges for lab services performed outside of our office are billed separately and are not typically included with the physician’s bill.
Requests for medical records are handled promptly but sometimes records must be retrieved from storage. Our charges for copying medical records are based on the charges set forth by the Georgia Office of Planning and Budget pursuant to O.C.G.A. 31-33-3. In order to comply with HIPAA regulations, a signed, written request for medical records must be received along with payment before records can be released.
Varying fees are charged for forms and letters that may be requested.
Please let us know at least 24 hours prior to you scheduled appointment
time if you will not be able to keep your appointment. Appointments
not cancelled in a timely manner will be assessed a "No Show"
fee.
Urogynecological appointments scheduled with Dr. Lisa Peacock require cancellation 48 hours prior to your scheduled appointment time if you will be unable to keep your appointment to avoid a “No Show” fee.
We accept personal checks drawn on a local bank. However, checks
returned for insufficient funds are assessed a $25 fee.
We accept Visa, MasterCard, American Express and Discover as well as cash and personal checks drawn on a local bank with preprinted name, address and phone number.
Checks that are returned by the bank as non-paid are assessed a $25 bad check fee. The amount of the non-paid check plus the $25 bad check fee are due within 10 days. We reserve the right to require payment of the non-paid check and the bad check fee by another method other than check (cash, credit/debit card, money order). Failure to rectify this situation within 10 days, will result in the account being sent to our collection agency.
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