Payment for services rendered is due in full at the time of service. Our office accepts cash, personal checks (there is a $20 returned check fee), and credit cards. We also offer convenient financing.
All co-payments, deductibles and payments for non-covered surgical procedures are due prior to your surgery. Your insurance carrier may require prior authorization.
For Patients with Insurance
As a service to our patients, we will bill your insurance carrier, provided proper paperwork is provided to us. We will also assist you in billing your secondary insurance carrier, if applicable. Payments are due at the time of service; the ultimate responsibility for any unpaid balance rests on you. Please understand that insurance is a contract between you and your insurance company, we are not contracted with medical/dental insurance policies. If an insurance carrier has not paid within 60 days of billing, any unpaid professional fees are due and payable in full from you.
Medicare does not cover tooth extractions or oral surgery done to facilitate wearing dentures, except in certain rare instances for the treatment of cancer. If Medicare denies payment, you are responsible for charges.
Any charges not paid by your insurance carrier will require payment in full at the time services are provided or upon notice of insurance claim denial. To assist our patients, we can provide you with an alternative financing source. Please ask our billing personnel for additional information.
If your injury is work-related, we require the necessary insurance billing information and employer authorization form prior to your office visit or treatment.
Personal Injury Cases
This office does not accept liens nor bill for auto-accident or other liability or lawsuit-related cases. The patient is responsible for services provided at the time of service.
Periodic post-operative office visits may or may not be covered under your insurance plan; however, these may be required by the attending doctor to monitor your health.
Cancellation of Appointments
Our goal is to provide high quality of care at low cost to our patients and in fairness to other patients and the doctor, we require at least 24 hours’ notice when canceling an appointment. There is a $30 fee for missed appointments without 24-hour notification, which will be due and payable from you. The practice reserves the right to dismiss patients with excessive canceled appointments.
Explanation of Fees
Your fee for service includes your visit with the doctor based on the time and complexity of your condition and any treatment provided. In addition, proper attention to your case requires that the doctor spend more time working for you outside your direct visit with him or her. Such time may include:
- Creation of a permanent medical record.
- Review of all laboratory blood test results.
- Review of prior and current x-ray or scan reports.
- Preparation and mailing of consultation reports and follow-up visit letters and laboratory/scan results to referring doctors and any subsequent consulting.
- Phone consultation with referring or consulting practitioner and other health care providers about your case.
- Other phone calls to and from you and your family members for various reasons.
- Referral letters to any further specialists recommended by the doctor.
- Patient educational materials and medication samples when available.
- Any research done by the doctor about your case. The doctor uses medical libraries and computerized medical search services.
- Staff assistance regarding your visit.
- Arranging and coordinating other tests and consultations.
- Calls to and from pharmacies.
- Insurance application forms: medical/dental, disability, and life insurance.
- Insurance reports: health claims, disability claims to insurance and state, Medicare disability.
- Discussions (sometimes acrimonious) with hospitalization utilization review, insurance companies, or Medicare for ongoing hospitalization.
- Review and management of hospital records.
- Letters of necessity for medical services to insurance companies.
- Communication daily during admission with nurses, house staff, and attending physicians.
- Other reports and forms: jury duty, school, job, sick leave, back to work, etc.
In addition, Drs. Olsson and Miloro participate extensively in continuing medical education, clinical research, residency teaching, and medical writing to keep up-to-date on the latest medical advances.
We look forward to a lasting and healthy relationship with you.