NervePro Medical - NervePro Doctor Information

Hope. Promise.Well-being.

Thank you for choosing our practice! We are committed to the
success of your medical treatment and care. Please understand
that payment of your bill is part of this treatment and care. For
your convenience, we have answered a variety of commonlyasked
financial policy questions below. If you need further
information about any of these policies, please ask to speak with
a Billing Specialist or the Practice Manager.

How May I Pay?
We accept payment by cash, check, VISA,Mastercard, American Express and Discover.

Do I Need A Referral?
If you have any questions about this, contact the Billing Department by clicking on the link, or the
e-mail section of the webpage.

Which Plans Do You Contract With?
Please see attached list.

What Is My Financial Responsibility for Services?
Your financial responsibility depends on a variety of factors, explained below.

Type Of Insurance

Commercial
HMO & PPO Contracted
HMO Not Contracted
Point of Service
Out of Network PPO
Medicare

Medicare HMO
Workman’s Comp
Occupational Injury
No Insurance
Personal Injury, Lien

Office Visits and Office Services

If You Have	You Are Responsible For	Our Staff Will...
Commercial Insurance Also known as indemnity, “regular” insurance, or "80%/20% coverage."	Payment of the patient responsibility for all office xray, injection, and other charges at the time of office visit.	Call your insurance company ahead of time to determine deductibles and coinsurance. File an insurance claim as a courtesy to you.
HMO & PPO plans with which we have a contract	If the services you receive are covered by the plan: All applicable copays and deductibles are requested at the time of the office visit. If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit.	Call your insurance company ahead of time to determine copays, deductibles, and non-covered services for you. File an insurance claim on your behalf.
HMO with which we are not contracted.	Payment in full for office visits, x-ray, injections, and other charges at the time of office visit.	Provide the necessary information for you to complete and file your claim directly with the insurance company.
Point of Service Plan or Out Of Network PPO	Payment of the patient responsibility—deductible, copay, non-covered services—at the time of the visit.	Call your insurance company ahead of time to determine out of network benefits, copays, deductibles, and non-covered services. File an insurance claim on your behalf.
Medicare	If you have Regular Medicare, and have not met your $100 deductible, we ask that it be paid at the time of service. Any services not covered by Medicare are requested at the time of the visit. If you have Regular Medicare as primary, and also have secondary insurance or Medigap: No payment is necessary at the time of the visit. If you have Regular Medicare as primary, but no secondary insurance: Payment of your 20% copay is requested at the time of the visit.	File the claim on your behalf, as well as any claims to your secondary insurance.
Medicare HMO	All applicable copays and deductibles at the time of the office visit.	File the claim on your behalf, as well as any claims to your secondary insurance.
Worker’s Compensation	If we have verified the claim with your carrier No payment is necessary at the time of the visit. If we are not able to verify your claim Payment in full is requested at the time of the visit.	Call your carrier ahead of time to verify the accident date, claim number, primary care physician, employer information, and referral procedures.
Worker’s Compensation (Out of State)	Payment in full is requested at the time of the visit.	Provide you a receipt so you can file the claim with your carrier.
Occupational Injury	Payment in full is requested at the time of the visit.	Provide you a receipt so you can file the claim with your carrier.
No Insurance	Payment in full at the time of the visit.	Work with you to settle your account. Please ask to speak with our staff if you need assistance.
Personal Injury, Lien	Payment in full is requested unless lien is executed.	File charges with your attorney, payment due at time of settlement.

Testing and Procedures If your physician recommends NCV/EMG or other testing or procedures in the office, the scheduling person will complete any pre-certification/authorization that your insurance company requires.

Make a Medical Appointment
Phone: 949. 753. 1882
Fax: 949.727.3365
info@nervepro.com

Make a Research Appointment
Phone: 949. 753. 1570
research@nervepro.com