Billing & Insurance Providers

Billing and Fees

Our charges are based upon the severity and complexity of your illness or injury. The physician/PA selects the level of service based upon those requirements. If you have any questions regarding our billing or your charges, please contact our billing department at  346-2755 . They will be happy to assist you.

Insurance Providers

For your convenience, our office participates with various insurance plans. For these insurers, we will submit claims for payment directly to the insurer. Please remember, your insurance agreement is between you and your insurer. You are ultimately responsible for any charges generated in this office.
In order to submit claims to any insurer, we must have a copy of the insurance card, the Policyholder's name and relationship, all patient information complete, and other information as necessary. If we do not have sufficient information to process a claim, you will be responsible for payment at the time of service.

Copayments may be part of your contractual agreement with your health insurance carrier. Copays are due at each appointment and are the patients' responsibility. In the event that we must bill for a copay that is not received at the time of your visit, effective July 1, 2006, an administrative fee of $25.00 will be added to the charge for the copayment.


We currently participate with the following insurance plans:

  • Aetna
  • Blue Cross Blue Shield of Delaware
  • Central Delaware Physicians Organization
  • (SYSCO, OXFORD, MULTIPLAN, FIRST HEALTH NETWORK)
  • Coventry Healthcare of Delaware
  • Medicare
  • Medicaid
  • Tricare
  • United Health Care Community Plan

Other

We will not see any workman's compensation injuries or if you had an injury at work. Contact your human resources personal for these injuries.

For motor vehicle accidents you must have the insurance name and billing address, adjustor's name and telephone number, and claim number. If you do not have this information at time of service you will need to pay prior to being seen by the physician.

A new patient will be discharged if your first appointment is no showed. If we receive your medical records you have the right to receive those from us at no charge.

A patient will be charged $25 for each appointment that is missed and/or not cancelled within adequate time. You must make us aware 24 hours before the appointment. Once you have missed 3 appointments within a year you will be discharged from the practice.