Billing

ATTENTION: It is recommended you call your insurance company to verify you have in-network benefits with our practice, as well as find out if your insurance requires a referral in order to be seen by one of our providers. It is becoming more common for insurance companies to require a referral.

• It is the PATIENT’S responsibility to find out if their insurance requires a referral.
• If your insurance company DOES require a referral, it is YOUR responsibility to provide our office with the referral.
• If your insurance company denies payment due to a referral not being obtained, the PATIENT is responsible for full payment of any charges incurred during their visit.

BILLING INQUIRIES: If you have questions about your bill, you can reach our billing department at (502) 897-1794, select option 4. Please follow the prompts to be directed to the appropriate area.

Any questions or concerns regarding bills from dates of service after June 1, 2022 should be directed to ConfirmaMD. To contact ConfirmaMD, please call 502-618-5803 or follow the prompts in the phone tree.

Business Office Hours

Our Business Office is open Monday through Friday 8am – 4:30pm. Anyone coming to our office for medical records, forms, or other business office inquiries need to come between these hours.

Disability and FMLA Forms

If you would like to submit your disability &/or FMLA forms for completion online, please go to: Sharecare.

If you have additional questions, you may call our Forms line at (502) 897-1794, ext. 1113.

No Surprises Act

As part of the patient transparency protections, Congress requires all providers, including providers furnishing care in the physician office setting, to provide a good faith estimate (GFE) for care to uninsured or self-pay patients. Additionally, the law requires providers and insurers to furnish an advanced explanation of benefits to insured patients.

If you believe you’ve been wrongly billed, you may submit a complaint at nsa-idr.cms.gov/consumercomplaints or call the No Surprises Help Desk at (800) 985-3059. Visit cms.gov/nosurprises/consumers for more information about your rights under federal law. Visit insurance.ky.gov/ppc and type “No Surprises” in the search box for more information about your rights under state laws. For Indiana visit https://www.in.gov/healthcarereform/no-surprises-act/

For additional information please refer to the resources below:

CMS.GOV/NOSURPRISES

CMS.GOV

HHS.GOV

No Show Policy

If you no-show for your appointment or cancel less than 1 business day in advance, including procedures, the no-show fee will be as follows:

Office Visit $50

Physical Therapy $50

MRI $100 *If the MRI is a double-study, you will be charged $200

Pain Procedure $100

Surgery $300

INSURANCE:

• Aetna
• Anthem
• Blue Cross Blue Shield
• Cigna
• Humana
• Medicare
• Tricare for Life
• United Healthcare
• Wellcare
• Caresource Just4ME
• Medicaid
• Passport
• Anthem Medicare Advantage

PLEASE NOTE: This is a limited list of insurances we participate with. Most insurance companies have numerous plans under their umbrella for which you are responsible in calling to make sure we are in-network. Due to the number of plans and constant changes by insurance companies, we are unable to stay current with our in/out of network status or our participation with each and every plan.

For questions regarding other insurance companies or claims, please contact the office.