Pre-Certification

If your insurance requires pre-certification for any studies or surgeries, our staff will assist you by contacting your insurance company prior to your procedure. 

Insurance, Billing and Collection

Our dedicated billing staff is here to assist you with your account and help with any insurance issues you may encounter. OSMC makes every effort to keep down the cost of your medical care. All fees are determined by the complexity of the procedure, time involved, and the standard fee for all orthopedic services. Services and treatments such as diagnostic X-rays, casts, splints, injections, physical therapy, etc., involve additional costs.

Financial advocates are available to assist you with your insurance questions. They will check insurance benefits for all elective surgeries to help you understand your specific benefits.

We are committed to providing you with the best possible care and are pleased to discuss our professional fees with you. Your clear understanding of our financial policy is important to our professional relationship. Please ask if you have any questions.

Self-Pay Patients

All self-pay patients and patients without proof of insurance are required to pay $200.00 in cash, check, money order, or credit card at the time of service. In instances where the visit charge is higher, you will be billed for the difference.

Failure to bring your expected payment may result in the rescheduling of your appointment. 

Patients with Health Insurance

Please bring your insurance information to every appointment and tell us when there are changes. We contract with many, but not all, insurance carriers. All claims will be submitted to U.S. companies as a courtesy; however, if we are not a contracted provider with your insurance company (i.e., out of network), we are not required to comply with their fee schedule.

If you have an automobile-related injury or are injured on someone else’s property, we will need to file with that insurance provider before we can file with your health insurance.

If your insurance requires pre-authorization or a referral for any services, it is your responsibility to notify us in advance and/or obtain the referral.

Insurance companies require that we collect your designated co-pay at the time of service. Please be prepared to pay the co-pay at each visit. Without it, you may be required to reschedule.

Co-insurance and deductibles must be paid within 30 days of insurance processing. Accounts not paid within 120 days of service will begin accruing interest charges at the rate of 1.5% per month.

Forms of Payment

We accept Visa, MasterCard, American Express, personal check, money order and cash. There is a $15.00 administration fee for returned checks.

Outstanding Balances

The Orthopaedic and Sports Medicine Center reserves the right to utilize a third party collection agency for account balances not settled in a timely manner. Failure to keep your account current may result in dismissal from the practice.

No-Show Policy

Please notify us within one (1) business day if you are unable to keep your appointment. "No shows" may be charged $35.00.

Third-Party Insurance Forms (Disability, FMLA, etc.)

There is a charge for completing any form that is not directly related to reimbursement of medical services. For compliance purposes, the patient information portion of the form must be completed and signed prior to acceptance, along with payment. Form fees must be paid in full prior to release.

Quick Pay Option

As a convenience to all of our patients, we offer "Quick Pay." We maintain your credit card information in a secure file to capture any co-pays, deductibles, or charges not covered by your insurance. Receipts will be mailed to you when the credit card is used. Please visit with one of our patient account specialists if you would like to activate this option.