Upon choosing our practice to fulfill your primary care needs, we will ask for the following insurance and demographic information:

• Basic demographic information (Name, DOB, contact information, address, etc.)

• Financially responsible party

• Insurance status (insured/self-pay)

• Social Security No.

• Insurance company

• Insurance card (front and back)

• Policy number, Group number, Plan name

• Additional insurance information if available

We accept many forms of payment to maintain flexibility with patients. Below is a list of all the forms/methods we accept:

• Cash

• Debit/credit cards, via tap or insert

• Eligible benefit/supplement cards (via insurance)

• In person, via phone call, mail, email or text

We ask that our patients be prepared to pay for telemedicine appointments ahead of time if their insurer provides clear policy regarding payment and coverage for telemedicine. Consistent with all appointments, we send statements for any remaining balance after insurance collections have been completed.

• In late 2025 and beyond, we will be employing automated patient collections, which work on a timeline relative to insurance collections. Put simply, besides co-pays collected on the date of service, patients will receive automatic correspondence from Tebra, our practice management solution, detailing remaining balances for which the patient is responsible and providing methods by which payments can be made online.

Fees for no-shows and cancellations can be a contentious topic if not addressed upfront, and we want to be transparent with our policy surrounding them. Our goal with this policy is not to be punitive, but to maintain a professional service environment, encouraging efficient and respectful communication between patients and their providers.

• A patient who has accumulated two (2) or more no-shows and/or same-day cancellations within a given 12-month period may be subject to a $50 fee for each no-show/same-day cancellation committed, excluding the first. We encourage patients to look out for appointment reminders that are delivered via email and text and consider telehealth alternatives in the event they cannot show up for in-person visits.

• If a patient has not paid the balance for which they are responsible 90 days after the first statement was issued and no understanding/agreement can be reached regarding payment, the statement may then be passed to a debt collection agency, and the patient may be denied service in the event that a pattern of non-compliance develops.*

*Under Federal law 42 U.S. Code § 1395cc, care cannot be withheld from Medicare/Medicaid patients due to financial reasons.

• Fixed Costs – In the event that the patient responsibility is known prior to the visit, such as a simple co-pay, we will collect at check-in.

• Variable Costs – When the patient responsibility is determined by specific services rendered and can only be calculated after the visit, we will collect at check-out or after insurance collections; includes coinsurances and deductibles.

While it is the patient's responsibility to know their covered and non-covered benefits, we are happy to help patients navigate and understand them. What we don’t want is to surprise our patients with unexpected charges that don’t appear to align with the services provided. The most common example of this is when a patient receives a bill months after a visit. This delay between a visit and its billing stems from the time insurers take to process claims, a period that could range from two weeks to multiple months. While this is frustrating, it is important to understand the timeline and parameters of payment for both payer and beneficiary.

For self-paying patients, we base our discounted prices off the Medicare Physician Fee Schedule, an index of prices set every year by CMS available to be viewed online. On top of this, we offer a prompt pay discount when patients pay on the date of service. Good faith estimates are available upon request.

All billing questions should be directed to Isabel, our collections and accounts receivable representative, who can be reached by dialing (305) 598-6696 and pressing 4 when prompted, during regular office hours.