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Financial Policy

Thank you for choosing ELITE SPORTS MEDICINE + ORTHOPEDICS, PLC for your medical care. We know you have many choices when it comes to your healthcare and we appreciate the opportunity to care for you. Our goal is to provide you with the unsurpassed orthopedic treatment and care.

Our Financial Policy was created to clearly delineate the financial terms of your care. Please take some time to read this policy and contact our Billing Office at (615) 324-1698 with any questions. It is necessary that you sign this document prior to our initiating care.

Payment is Expected at Time of Service

Payment is required at the time services are rendered unless other arrangements have been made in advance by you and/or your insurance carrier. This includes applicable and estimated co-insurance and co-payments under your insurance policy, provided we are in-network with your plan. Elite Sports Medicine + Orthopedics, PLC accepts cash, personal checks (in-state only), money orders, VISA, MasterCard, Discover and American Express. There is a $30 charge for all returned checks.

Patients with an outstanding balance more than sixty (60) days old must make arrangements for payment prior to scheduling future appointments. If payment arrangements are not made and the account is more than ninety (90) days delinquent, the account may be turned over to a collection agency. In the event your account is turned over to a collection agency, you will be responsible for the fee charged by the agency for collection.

Insurance

As a courtesy to you, we will bill your insurance company. All deductibles, co-insurance and co-pays are expected at time of service. We will also forward claims to all secondary insurances along with the appropriate EOB from the primary carrier. Please make sure to inform the registration staff of any and all insurance policies as well as provide them with all insurance cards. If you do not have your insurance card(s) with you, your account will be considered “Self-pay” until you provide us with your insurance cards. If your account is classified as “Self-pay”, the terms of our Self-pay Policy will apply.

If you need assistance or have questions, please contact our Billing Office between 8:00 a.m. and 5:00 p.m., Monday through Friday at (615) 324-1698.

Refunds

If an overpayment is made on your account, refunds will be processed no later than the 15th of each month following the month in which we received the overpayment. If your treatment is ongoing, we will apply the overpayment to any future balances, at your request. We will provide you with an authorization instructing us on the handling of your overpayment.

Missed Appointments / Late Cancellations

Missing or arriving late for appointments without advance notice can cause delays for other patients. As a courtesy we ask you to contact the practice 24 hours in-advance if you will not be able to keep your scheduled appointment date and time. If you find that you must be late, please contact us as soon as possible so that we can determine if we need to reschedule your appointment. Extensive or excessive tardiness may result in discharge from the practice.

Surgery Center Charges

If your physician recommends surgery, you will meet either in-person or bytelephone with a Surgery Center Counselor. They can answer specific questions about the surgery scheduling process, discuss paperwork and tests involved, and complete all pre-certification/authorization if your insurance company requires it. It is important to note that the Surgery Center is a separate entity and that it will bill you separately from the physician practice. You may be asked to make payment of any co-insurance and deductibles prior to your surgical encounter. The Surgery Counselor will explain the cost estimate and your financial responsibility based on your coverage levels and the benefits of your plan.

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