Thank you for choosing Summit Orthopedic Specialists for your medical care. We know you have many choices when it comes to your healthcare and we appreciate the opportunity to care for you. Our goal is to provide you with unsurpassed orthopedic and podiatric treatment and care. Our Financial Policy was created to clearly delineate the financial terms of your care. Please take some time to read this policy and contact our Billing Office at (916) 436-9420 with any questions.
Payment is Required at Time of Service
Payment is required at the time services are rendered unless other arrangements have been made in advance by you and/or your representative. This includes applicable and estimated co-insurance and co-payments under your insurance policy, provided we are in-network with your plan. Payment is also required for any non-covered services and/or supplies at time of check out before you leave. Summit Orthopedic Specialists accepts cash, personal checks (in-state only), money orders and VISA, MasterCard. There is a $25 charge for all returned checks.
Patients with any outstanding balance will be required to pay their balance in full at time of their next appointment in addition to any other patient out-of-pocket (including but not limited to co-payments, co-insurance, deductibles, and/or deposits). Patients with an outstanding balance more than 60 days old must pay their balance in full or make arrangements for payment prior to scheduling future appointments. If payment arrangements are not made and the account is more than 90 days delinquent, the account may be turned over to a collection agency. In the event your account is turned over to a collection agency, you will be responsible for the fee charged by the agency for collection.
Insurance
As a courtesy to you, we will bill your insurance company. All deductibles, co-insurance and co-pays are expected at time of service. We will also forward claims to all secondary insurances along with the appropriate EOB from the primary carrier. Please make sure to inform the registration staff of any and all current insurance policies as well as to provide them with all current insurance cards at the time of your visit. If you do not have your insurance card(s) with you and/or we cannot verify your eligibility, your account will be considered “Self-pay” until you provide us with your insurance cards. If your account is classified as “Self-pay”, the terms of our Self-pay Policy will apply. As part of your treatment, one of our specialists may recommend a service or supply not covered by your insurance. If you choose to have a non-covered service and/or supply you will be required to pay for the non-covered
If you need assistance or have questions, please contact our Billing Office between 8 a.m. and 5 p.m., Monday through Friday at (916) 436-9420.
Self-Pay Policy
The Summit Orthopedic Specialists Self-Pay Policy requires a $300 deposit prior to being treated. The deposit will be applied to any and all services and/or supplies rendered during your treatment. If the prescribed treatment (including services and/or supplies) exceeds your deposit, you will be required to pay the balance in full for services/supplies rendered at time of check out before you leave. If the services/supplies rendered are less than your actual deposit, but your treatment is ongoing, your credit balance will be applied to your future visits. However if the services/supplies rendered are less than your deposit and your treatment has concluded, any audited overpayment will be refunded (see Refunds below). If you need assistance or have questions, please contact our Billing Office between 8 a.m. and 5 p.m., Monday through Friday at (916) 436-9420.
Refunds
If an overpayment is made on your account by you, refunds will be processed no later than the 15th of each month following the month in which we received the overpayment. If your treatment is ongoing, we will automatically apply the overpayment to any future balances. Once your refund is processed, please allow 10-14 days for receipt of your refund. If the aforementioned time has expired and you did not receive your refund, please contact our Billing Office between 8 a.m. and 5 p.m., Monday through Friday at (916) 436-9420.
Missed Appointments / Late Cancellations
Missing or arriving late for appointments without advance notice can cause delays for other patients. We require a 24 hour advance cancellation notice if you will not be able to keep your scheduled appointment date and time. Failure to provide at least 24 hours advance notice to your scheduled appointment will result in a $50 No Show / Late Cancellation appointment fee billed directly to you. The $50 No Show / Late Cancellation fee is not covered by your insurance therefore you will be financially responsible.
Request for Medical Records, X-rays, and/or Forms
Summit Orthopedic Specialists charges a $20 fee for medical records per chart, per provider. The charge for X-ray films are $20 per X-ray film. There may be an additional $20 fee per chart if your records (medical records or X-rays) need to be requested and delivered from our off-site third party medical records storage vendor facility. If you require the completion of any forms there is a minimum charge of $20 per form. If you have any questions, please contact our Medical Records department between 8 a.m. and 5 p.m., Monday through Friday at (916) 436-9406.