What Insurance do you participate with?

Our practice participates with most managed care insurance companies. It is up to the patient to ensure that we are participating providers with your insurance. If we do not participate, payment is required at the time of service.

As a courtesy to our patients, Forsyth Street Orthopaedic, Rehabilitation & Surgery Centers file all primary and secondary insurance claims. Most claims are filed electronically. Patients can expect to receive notification from their insurance within 15 to 30 days. Secondary claims are filed only once. If no payment is received from the carrier in 30 days, any balance remaining will be the patient's responsibility.

Our practice accepts cash, checks, Visa and MasterCard. Please feel free to contact our Patient Accounts department at 478-743-3000 with any questions or concerns. We will make every attempt to assist you.

What is My Financial Responsibility?

Insurance is an agreement between you and your insurance company. We do not become involved in disputes between you and your insurance company regarding any deductibles, co-payments, non-covered or denied services. You will need to contact your insurance company to determine what is and is not covered.

If you have.

Commercial Insurance
also known as Indemnity, regular insurance or an 80%-20% Plan. w

• You are responsible for.
  A minimum payment of 20% of the total for services rendered will be due at the time of service
• Our staff will.
  Submit your insurance claim for you. We will assist in any pre-certification or
• Pre-authorization process necessary.
  We will collect all payments that are due following your visit.

If you have.

HMO & PPO plans with which we are a participating provider.

• You are responsible for.
  If the services you receive are covered by the plan: all applicable co-pays and deductibles are "required" at the time of service.
• Our staff will.
  Submit your insurance claim for you. We will assist in any pre-certification or
• Pre-authorization process necessary.
  We will collect all payments that are due following your visit with the exception of your co-pay which will be collected at check-in.
  If you have.

Medicare

• You are responsible for.
  If you have regular Medicare, and have not met your $124 deductible, you will be billed for any balance due. Payment for any services not covered by Medicare is to be paid at the time of service. If you wish to be on "automatic crossover" for your secondary insurance, you must call your secondary insurance to set this up.
• Our staff will.
  Submit your insurance claim for you as well as any claims to your secondary insurance.
  If you have.
  

Auto Insurance/Third Party Insurance

• You are responsible for.
  We do not file your auto or third party insurance. We will file your private health insurance and provide you with an itemized statement for you to file with your auto carrier or third party insurance.
  
  

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