Insurance & Self-Pay
eNT Of Warrensburg Billing Policies and Procedures
Managed Care places specific responsibilities on Physicians and Patients. These responsibilities are spelled out in the contract with the insurance carrier. Understanding your role will help facilitate referrals and financial matters. We hope you will take a few minutes to familiarize yourself with our Office Policy regarding finances and referrals.
It is the patients responsibility to ensure that a valid referral is on file for the services being rendered. Referrals are usually good for 30 to 60 days depending on the carrier and in the cases of Allergy shots, some carriers will allow a global referral (up to 1 year).
Please be courteous to the Primary Care Physicians (PCP) and request the referral early as some of the offices require 3 to 7 days of advance notice. In most cases the PCP is willing to fax the referral to our office. We do accept faxed referrals.
In Regards to our Financial Policy
Our office is contracted with a variety of health insurance programs. If you are a participant in an insurance program that we accept, you are expected to pay your co-payment at each visit. Failure to do so can result in action by your insurance carrier.
- Office charges are due and payable at the time of service. Our Billing Office is to help facilitate insurance claims and questions you may have. Accounts past 30 days old are considered delinquent and those at 90 days with no payment and no payment arrangements will be referred to a collection agency.
- Your insurance can deny payment for services or procedures after they are performed. We advise that you know the benefits of your individual plan.
- Payment may be made by cash, check, Visa, MasterCard, Discover, American Express and Care Credit.
- The Billing Office files claims for all carriers with whom we participate. Payments by the insurance carriers will be made directly to our office. They will provide you with an Explanation of Benefits (EOB) of the charges, amount covered by your policy, and payments made to our office on your behalf. Your insurance may or may not allow a portion of your bill, the remaining balance is your responsibility. If you have a secondary plan, as a courtesy, the billing office will submit the primary payment information to the secondary carrier.
- Blue Cross Blue Shield
- MO Medicaid
- Multi Plan
- PHP/Freedom Network
- United Healthcare
- Veterans Choice
Our Self Pay policy is as follows:
(Surgical Services requiring General/Mac Anesthesia only) Primary Surgical Procedure receives 50% Discount. Each additional Surgical Procedure receives 50% Discount. Surgery costs should be paid in full prior to the date of surgery OR your credit card must be kept on file and we will divide the surgery cost equally by three months and then automatically deduct a payment each month for those 3 months. Surgery Deposit is required and will vary depending on your fee quote.
(Surgical Services requiring only topical/local Anesthesia) Primary Surgical Procedure - Receives 50% Discount. Each additional Surgical Procedure receives 50% Discount. Surgery costs must be paid in full prior to the date of surgery.
Non-surgical Self-pay office patients are given a courtesy discount if they pay the entire amount due at the time of service. We understand that this is may not be possible in every case. When necessary, a Payment Plan for the full amount can be arranged in advance by calling the Billing Department at (660) 747-5444.
Self-pay patients for Allergy Testing & Treatment done in the office receive a discount of 25% . Allergy drops for self pay are $50 per vial and must be paid prior to mixing them. Testing is to be paid in full in advance of the day of testing. Allergy Treatment to be paid at the time of each shot.
Workman's Compensation is filed as a courtesy to our patients. However, if a claim is denied, unsettled or unpaid within 60 days, we request that you file a personal claim and pay the bill in full. In all legal matters you are responsible for payment.
There will be a $30.00 charge for all returned checks.
Thank you for choosing Ear, Nose & Throat Of Warrensburg as your Healthcare Provider.