Just as we want you to be knowledgeable about your health care, we also want you to understand our financial policy with regard to the services we provide.
The New Patient Representative will work with you to confirm your initial appointment date and verify your insurance coverage or other initial financial arrangements.
A Patient Representative will meet with you after your first visit with your physician to review your estimated insurance coverage and discuss any questions or financial concerns you may have related to your care. All deductibles, coinsurance and copays are due on the day of your visit. For your convenience we accept credit cards, debit cards, automatic payments, personal checks and cash.
If you and your physician decide that your condition requires treatment, you will receive a phone call from our Pre-Treatment Representative prior to starting therapy. Our Pre-Treatment Representative will contact your insurance company to verify how your treatment may be covered, based on your policy, and will review with you the estimated cost of the treatment planned. You will be notified at this time about any estimated amount that will be your responsibility.
At this time, patients requesting assistance with any out of pocket expenses may receive notice of availability of any outside foundation grants that our Patient Assistance Representative has knowledge of. These various foundations have their own financial documentation requirements which our Patient Assistance Representative will obtain from you when completing their applications.
Our Insurance Specialists consist of insurance billing personnel experienced with the complex billing of oncology related services. We have certified coders that aid in the review of claims for accurate and detailed claim submission with medical necessity documented fully.
We are providers for Medicare and Medicaid for both South Carolina and North Carolina, as well as a number of private insurances carriers. Claims will be submitted to your insurance provider on your behalf. For patients having insurance with which we do not contract, we will gladly bill your insurance for services; however you are responsible for your bill. If your insurance company will not send their check to us, the provider of service, we will be happy to submit your claim to your insurance as a courtesy, but you will be responsible for the full amount of those services when services are provided.
IS A PARTICIPATING PROVIDER WITH THE FOLLOWING INSURANCE PLANS:
As a courtesy to our patients, insurance claims will be submitted to any provider not listed.
While most cancer treatment is nationally covered, some or perhaps all of the services provided may not be covered. Some insurance companies require you to obtain referrals or pre-authorization for office visits, hospital admissions, lab work and treatment. It is your responsibility to obtain the initial referral and bring this with you on your first visit. We also request that you be knowledgeable about any restrictions your particular policy may have regarding pre-authorizations or referrals for tests or treatment. Please be aware that insurance coverage varies with each individual policy, and your policy is a contract between you and your insurance company. We are not a party to that contract and cannot assume responsibility for their decisions or restrictions. Please let us know if you need assistance with your insurance requirements, as our staff wants to help you receive the maximum benefits under your policy.