Carolina Retina Center

FINANCIAL POLICIES AND PROCEDURES

Welcome to our Practice! We are committed to providing you with the best possible care. If you have medical insurance, we are anxious to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and understanding of our payment policy.

1. We accept most major insurance carriers and are pleased to assist patients with their insurance questions.

2. Please be sure to tell us about any secondary or supplemental coverage.

3. We will gladly file your insurance claim, and while this is a courtesy that we extend to our patients, all charges are your responsibilities from the date the services are rendered.

4. Co-pays, co-insurance and deductibles are a contract between you and your insurance carrier, and are due at the time of service.

5. If you have incomplete insurance information or no insurance at all, payment is expected at the time of service.

6. We accept check, cash, Mastercard, Visa and Discover. Payment arrangements are required in advance.

7. If your insurance changes, and we are not notified, you will be responsible for all charges.

8. In today’s managed health care environment, many medical plans require prior authorization. Please be aware of any prior requirement from your individual insurance. It is the patient’s responsibility to contact the referring physician for the authorization prior to the scheduled appointment. Please verify receipt of authorization prior to your visit. If you have no authorization, you will be responsible for visit charges.

9. In the event your health insurance plan determines a service to be “not covered”, you will be responsible for the charge.

For Questions please contact our Billing Department at (803) 736-7200, 9:00 a.m. – 4:00 p.m., Monday through Friday.

Completion of Forms: There is a $15.00 fee for completion of disability, driver’s license, leave of absence and/or any requested correspondence that is not associated with reimbursement of a medical claim. Payment for completion of these forms is expected before the form is completed by the staff.

Missed or Late Cancellation of Appointments: There may be a $20.00 charge to the patient for a missed appointment without cancellation notice within 24 hours of the appointment.

Returned Check Fee: There is a charge of $25.00 in the event of a returned check for insufficient funds.

Statement Procedure: We will mail a statement to the address you have provided once we receive payment from your insurance carrier. In the event that payment is not received from you within 30 days, a past due letter will be mailed. If we still do not have payment within 30 more days, we will make every effort to notify you that the account is being turned over to collections and this may impact your credit rating.