Insurance, Fees, and Billing

Accredited Asthma, Allergy & Food Intolerance Center is a contracted provider for most of the major insurance carriers, as well as several of the smaller insurance groups.  We are also a proud provider for Medicare as well as Kentucky & Indiana Medicaid programs.  It is your responsibility to verify with your insurance company that we are network providers.  We can, as a service to you, contact your current insurance carrier regarding your eligibility and benefits for the services we provide.  Please call our insurance specialist at 502-895-3330 or fax us a copy of the front and back of your insurance card to 502-895-3356 attention “insurance specialist.”  Be sure to include your name, date of birth, daytime phone number and the date of your appointment on your fax.  We must receive this information at least 3 days prior to your appointment to properly notify you of your payment responsibilities.  If you do not provide us with your insurance information, you are required to pay your deductibles (to a maximum of $300) and fees for services not covered by your insurance including all co-pays at the time of your appointment.  We accept cash, check and all major credit cards. If you are not prepared to pay, your appointment must be rescheduled.   

If your insurance coverage requires a referral from your primary physician for payment, you are responsible for obtaining this referral.  If the referral is not obtained prior to your appointment, you will be required to pay a deposit of $300.  If you are not able to make this payment, your appointment will be rescheduled.   

Upon completion of your appointment, your service fees will be filed with your insurance company.  Within 3 weeks, you should receive an explanation of benefits (EOB) stating what the insurance paid and what is your responsibility.  If your initial payment resulted in an overpayment on your account, please call our insurance specialist (502-895-3330) to request a refund.  If there is a still a balance on your account, we will bill you.  Full payment is expected upon receipt of your statement.  Service and interest charges will accrue on accounts over 60 days old.  Accounts over 120 days old will to a collection service.

Please remember to inform our staff of any changes with your insurance coverage, address, telephone number, employment, etc.  Some insurance companies will not pay for charges if they are not filed within 60 days of the date of service.  This would result in you being responsible for the total fees.

Appointments

Our patients’ care is of utmost importance.  We see patients by appointment only and schedule only a very few (8 – 14) patients per day.  Your appointment for consultation and/or testing can take 2 – 4 hours.  For this reason, my staff and I would appreciate at least a 48 hour notice of cancellation or you will be charged $50 for a late cancellationstaffing fee.  Patients who frequently cancel or miss appointments may be discharged from our practice.

Statements/Balance

Statements are sent within 15 days of payments by your insurance company on new charges. Payment in full is expected upon receipt of your statement.  A service charge of 1.5% per month or 18% per annum will be applied to any balance over 60 days.  If your account becomes delinquent and we have tried unsuccessfully to secure payment arrangements, we will be forced to forward your account to an outside collection agency.  At that time, no future services will be provided by Accredited Asthma, Allergy & Food Intolerance Center,PSC.

Billing Service

For your assistance, we have an outside billing service, Avoca Physician Billing.  They can be reached Monday through Friday from 9:00am to 4:30pm at 502-753-1294 or 502-498-2203.  They can provide you with up to date information on your account balances, insurance payments, when insurance was filed, take payments over the phone, send you itemized statements, etc.  Please do not hesitate to contact them regarding your account.  We are unable to answer those questions from our office.

Medical Forms/School Forms/ Letters Requested

Completions of medical forms, school forms, letters for purposes of taking medications during school hours, restrictions to your diet due to food allergies, environmental restrictions due to allergies, etc will be provided if this has been discussed with Dr. Smith.  The fee for completion of these forms/letters is $25.