| Pediatric
Neurosurgery Group, P.C. will file your insurance claim,
but you are ultimately responsible for paying for services
received in this office. Many of the services provided
in this office are covered and paid by your insurance
company. We gladly file the claims for you so that your
do not have the additional worry and effort of dealing
with this during a time of illness.
You are responsible for paying your
co-payments at the time of the service. If you have
Blue Cross Blue Shield Master Medical, you are responsible
for payment in full at the time of the service. We
will then transmit your insurance claim for you and
the reimbursement check is sent directly to you.
If you have an HMO, your insurance
plan requires that you present a valid referral form
or an authorization number EACH time you come to see
the specialist. If a referral form is required by
your insurance, it must be completed in the following
manner:
| Referred To (Choose
One): |
Location: Provider
Office |
| Steven D. Ham, D.O. |
|
| Sandeep Sood, M.D. |
Facility Name: (When applicable) |
| |
|
| |
Pediatric Neurosurgery
Group, P.C. |
A referral may authorize more than
one visit and/or there may be a validation time period.
The referral is considered NOT valid when one of the
following occurs: the number of visits has been exhausted,
or the expiration date has been reached. If your referral
has a validation period and authorizes multiple dates
of service, we will provide you with a copy of the
referral form so that you are aware of the expiration
date.
Unfortunately, not all services are
paid by the insurance company. In cases where the
service had not been paid, you will be personally
responsible for the bill. Before we bill you, we will
make sure that all of the information sent to the
insurance company is accurate and clearly describes
the services you received.
Recent Federal laws addressing all
insurance companies require that we submit every claim
to an insurance company accurately, reporting the
exact services performed and the exact reason for
performing them. We are no longer allowed to change
this information just so the claim can be paid by
the insurance company.
Our practice is committed to these
new laws, and will submit all claims to all insurance
companies in this manner.
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