Billing & Insurance
At Lewiston Orthopedics, we have one standard of care for all—the best.
The professional fees in our office are carefully examined and are customary for orthopedic surgeons in our area. We make every attempt to keep your overall medical expenses to a minimum. The cost of operating a large orthopedic practice is significant, and this is reflected as part of our fee. Billing costs are a portion of this overhead, and in an effort to keep this cost to a minimum, it is expected that fees for office visits and X-rays will be paid at the time your service is rendered. This gives you a clear understanding of your bill and an opportunity to discuss any problems.
If you are having difficulty with your account, please do not hesitate to request a meeting with our accounting department where a confidential discussion may help resolve your problem. For your convenience, payments for your office visits may be made by cash, check, or credit card.
We participate in several major insurance PPO and a few HMO plans in our market area. Our staff make every effort to keep up-to-date records on our doctors and their participating insurance networks, but coverage may be different, depending on your employer's plan.
To confirm a doctor's status as In-Network or Out-of-Network, we suggest you call the number on the back of your insurance card. Ultimately, it is the patient's responsibility to confirm insurance status before the appointment.
If You Have Insurance
Any co-payments or a $75 minimum payment towards your deductible are due at the time of your appointment. We are happy to file your insurance for you, provided you supply us the information from your insurance card. If you have any questions regarding your coverage, please contact your insurance carrier directly. In order to process your claim, your insurance carrier may request additional information from you. If you receive such a request, please return it to your insurance carrier as soon as possible so your claim can be paid in a timely manner.
We will bill your insurance as a courtesy. Once we have received payment or denial from your insurance company, or a reasonable amount of time has passed, the remaining balance will become your responsibility. When any portion of your account becomes a personal balance (owed by you) you will receive a statement. At that time, if you need to make payment arrangements, contact us immediately. If we do not hear from you, your balance is due in full on the due date as printed on your statement.
If You Do Not Have Insurance
If you do not have insurance, a $125 pre-payment is due prior to each appointment, and will be applied to the oldest balance. You may pay with cash, money order, Visa, Mastercard, Discover, or American Express. You will receive a minimum of one statement, followed by a FINAL NOTICE before further collection action is taken. Our Financial Counselors are happy to discuss your account with you at any time.
For Lewiston Orthopedics office visits, co-payment or a $75 minimum payment towards your deductible is expected on the day of your office visit. As a courtesy, we will file claims for you with your insurance carrier.
For surgical procedures and other services performed outside of our office, we will file with your insurance company for payment to be made directly to us. This will allow you to avoid paying a large fee and having to wait to be reimbursed. You will be asked to talk with our accounting department prior to your surgical procedure to make certain that we have appropriate insurance information for your account. We will do whatever we can to assist you with your insurance claim.
In instances where there is an accident-related injury that may require legal action, we hold the person who has received our services responsible for the bill payment, regardless of any pending legal action. Once Lewiston Orthopedics receives the bill, we will furnish any necessary information to your legal counsel.
For work-related injuries, we will need written authorization from your insurance carrier.
If you have any questions regarding work-related conditions, please contact our office at (208) 298-1019.
Lewiston Orthopedics is a Medicare provider and accepts assignment for Medicare patients.
Please note, deductibles and co-payments are due at the time of your appointment.
If you have any questions regarding insurance coverage or payment and billing, please contact a Lewiston Orthopedics representative at (208) 743-3562.