Financial & Insurance Information
For our staff to best serve you, please review the information below ahead of your appointment. Please ask our office any questions you may have, including what paperwork you may be able to fill out ahead of your visit.
Payment in full is expected at the time of your visit. We accept major credit cards. If you have any questions regarding your account, please call our business office during normal business hours or contact us using "Ask the Business office" link and one of our business office employees will respond within 24 hours.
If you are covered under one of our managed care contracts, you will be responsible for the co-pay associated with your plan. Texas Orthopaedic & Sports Medicine is a participating provider for a large number of insurance programs including:
- Blue Cross & Blue Shield
- United Healthcare
- HAS/Premier PPO
- WORKERS COMPENSATION
As a courtesy to our patients, we routinely file claims for payment of our services with the various insurance companies. However, the patients are ultimately responsible for the payment for the services they receive.
Certifications and Authorizations
Many insurance companies and managed care plans require patients to request authorization from their carriers prior to being examined by our doctors. Please read your insurance card or booklet to familiarize yourself with your specific requirements. In some cases, your family physician or primary care physician is required to authorize your visit by issuing you a referral form. Finally, managed care plans routinely require prior certification before a surgery can be performed. Our philosophy is to assist you with these complicated procedures.
Claims Payment and Explanation of Benefits
When an insurance company pays a claim, it issues an EOB that is sent to the patient. This clarifies what is eligible to be paid to a physician provider under the terms of your insurance contract. In most instances, the patient is required to pay a portion of the physician's fee; we expect that payment to be at or shortly after the delivery of service.