Piedmont Medical Associates participates with most insurance plans. If you are not insured by a plan in which we participate, payment in full is expected at the time of your visit.
Understanding your insurance benefits is your responsibility. Therefore, please be sure that you verify that our physicians are in your network, what your out of network benefits are, and what your insurance covers. If you have questions about your coverage, please contact your insurance company with any questions before your appointment.
Proof of Insurance
You agree to present your valid insurance card at each visit. If you do not have your insurance card you may need to reschedule or pay for all applicable charges prior to being seen. You agree to provide accurate up to date insurance information. If your claim is rejected due to incorrect or coverage not in effect, then you are responsible for the charges. If we are unable to verify your insurance at time of visit, you are considered a Self Pay and you are responsible for payment at time of the visit.
Co-payments and Deductibles
Co-pays are due at time of appointment. It is your responsibility to know your insurance plan. All co-insurance, deductibles, and non-covered expenses will be paid in accordance with our office policies.
Self-pay or Non-covered Services
self-pay expenses are due at time of visit. This expense will vary based on the complexity of your visit and additional labs. Please be aware that some of the services you receive may not be covered by your insurance plan.
Check Policy
All checks must be made out to Piedmont Medical Associates. A service charge of $30.00 will be assessed for each returned check.
Claims Submission
We will submit claims on your behalf to your insurance company for payment. Your insurance company may require that you supply certain information directly. It is your responsibility to coordinate your benefits with your carrier. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim.
Coverage changes
If your insurance changes, please notify us before your next visit, so we can update your insurance information in our system. Providing us with this information prior to your visit will reduce your wait time. We will also do our best to verify your insurance coverage prior to your visit to minimize surprises at the time of visit.
Non-payment
Our practice is committed to providing the best possible treatment for our patients at a fair and reasonable cost. Payment is expected at the time of service unless prior arrangements have been made with our business office. If your account is more than 90 days past due, your account may be turned over to an outside collection agency. These agencies charge fees. You agree to be liable for all such collection expense, legal fees, and court costs. If you are dismissed from the practice as a result of non-payment, you will be notified by certified mail that you have 30 days to find alternative medical care. During that 30-day period, our physicians will only be able to treat you for emergency care.
Missed Appointments
Keeping your regularly scheduled appointment is important - for your health, for the convenience of other patients, and for more efficient operations at our office. If you must cancel or reschedule your appointment, please let us know 24 hours before your scheduled time. Failure to cancel or reschedule 24 hrs prior to your appointment will result in a No show/Same day cancellation fee. The fee for an office visit is $50.00 and the fee for an annual exam is $100.00.