HMO’s & PPO’s
It is necessary for you to check with your HMO and/or PPO for any special requirements. If you have an HMO and/or PPO that requires a referral from your Primary Care Physician (PCP), we ask that you call your PCP to verify that one has been done. We ask that you bring a copy of the referral to your appointment. If you arrive without this information, you will be asked to reschedule your appointment until a referral has been completed. We cannot wait until you are here for your appointment to verify that a referral has been performed.
If your services are to be billed to The Bureau of Workers Compensation, you must provide us with:
- The appropriate active claim number
- Allowed condition and code
- Date of injury
- MCO name, phone number, and mailing address
- Name of the employer where the claim occurred
If you have a self-insured claim, we will need this information for them also. Please reschedule your appointment until after we have received it.
We are participating physicians with Medicare and accept assignment. We will bill your secondary insurance when needed.
Medicare Advantage Plans
While we participate with many Medicare replacement plans, we are not in all networks. Please contact your plan to ensure we are in network before seeking treatment.
Dual Medicare / Medicaid Plans
We do not participate with most Medicare / Medicaid dual enrollment plans. Please contact your plan to ensure we are in network before seeking treatment.
While we participate with many Marketplace plans, we are not in all networks. Please contact your plan to ensure we are in network before seeking treatment.