An Explanation of Our Billing Policies
Thank you for choosing The Center for Arthritis and Rheumatic Diseases, P.C. for your rheumatology care.
At The Center for Arthritis and Rheumatic Diseases, we realize your healthcare experience is not limited to just a visit here, but includes the billing process as well. We are committed to providing you the best care possible and keeping you informed about the charges for services and your obligations.
Our Billing Department can help you with:
•Understanding your bill.
•Explaining what you can expect during the billing process.
•Helping you make a plan for payment of your healthcare expenses.
•We accept VISA, MasterCard, Cash or Check.
•We are happy to file insurance claims for you upon receipt of your insurance information.
•We realize that temporary financial problems may affect timely payment of your account. If such problems do arise, we encourage you to contact us promptly for assistance in helping manage your account. Please call the Patient Billing Office at 757-461-6997.
Payment at time of service
Depending on your insurance coverage, there will be a portion of your fees due at the time of service
•A co-pay is a fixed amount you pay for a health care service and may be required by your insurance or managed care organization. We will require you to pay your co-pay prior to, or at time of service. This is a requirement which allows us to accept your insurance. We cannot waive a co-pay for your visit.
•Some insurance plans require a co-insurance payment. This is your share of the costs of a health care service, usually expressed as a percentage of the total charges. We may require all or a portion of your co-insurance at the time of service.
•Some insurance plans require a deductible that you pay for health care services before your health insurance begins to pay. We may require you to pay all or a portion of this at the time of service. Please understand that most insurances have deductibles that reset annually.
About Our Fees
The fees charged by The Center for Arthritis and Rheumatic Diseases, P.C., were developed by competitive market analysis in combination with current Medicare and commercial insurance reimbursement schedules.
About patient responsibilities
As the patient, you are ultimately responsible for payment of all fees and charges that occur as a result of your treatment. This includes any charges for late payments, collections, returned checks, or no-show fees.
You have an obligation to pay the charges that are not covered by your insurance carrier. Please verify insurance benefits prior to any procedure and provide us with your current insurance information.
Your insurance company may require you to obtain Prior Authorization for treatment. If so, please obtain written approval before admission to your visit, if you need assistance in this, we can help you.
When you receive your statement, one set of charges could be processed and paid on by your insurance company. But the other set of charges could still be pending insurance payment. These charges will be under the Insurance Pending column of your billing statement. Once your insurance company processes the pending charges they will show up on your next month billing statement under Patient Responsibility column. If you have questions please contact the Patient Billing Office at 757-461-6997.
You will receive a monthly statement from us for any remaining balance after your insurance processes your claim. Your payment is expected within 20 days of receipt of this statement.
Insurance Plans We Currently Accept
The following list of insurance is subject to change without prior notice, please contact our billing office at 757-461-6997 for a current list of insurance that we currently accept.
•Anthem Blue Cross and Blue Shield/Healthkeepers
•Sentara/Optima Health Care
•Virginia Health Network
Providing Insurance Information
You will be required to show your current insurance card when you check in for every appointment.
If there is a change to your coverage or insurance policy, please inform our billing department as soon as possible, you will need to provide the following information:
•Name of the insurance company
•When the policy started
•Where the claim should be mailed
•Name of the policy holder
•The relationship of the policy holder to the patient
•Date of birth of the policy holder
Once again, thank you for choosing us, and please do not hesitate to contact the billing office with any questions. We look forward to having the opportunity to participate in your care.