Nephrology, Inc.
Nephrology Physicians, LLC

Statement of Financial Policy

Nephrology, Inc. and Nephrology Physicians, LLC. participate with many insurance plans. We will be listed in your group's provider list if we are participating in your plan. We will bill your insurance directly and receive payment directly from them. However, to avoid any confusion, be aware that we do expect payment of any applicable deductibles, co-payments or co-insurance amounts at the time of service. Also, any services that your insurance will not cover are your responsibility for payment.

If your insurance requires prior authorization for any of your services here at our office, and if this authorization has not been obtained before your visit, you will be expected to pay for all charges incurred that are not paid by your insurance carrier. If your insurance subsequently authorizes your services, your payment will be refunded to you upon receipt of the insurance payment.

If we are not a participating provider for your insurance plan, we will still bill your insurance directly once you have provided us with complete information to do so. You may receive a statement for the entire charge prior to your insurance paying. You may wait to pay us for 30 days until your insurance has paid. If your insurance has not paid after 30 days you will be required to submit full payment for services.

If you do not have insurance, payment is expected at the time of service. We accept Visa and Mastercard for your convenience.

We charge what is usual and customary for our area. You are responsible for payment regardless of an insurance company's arbitrary determination of usual and customary rates. However, please note: our practice participates in many managed health care plans with which we honor contracted fees arrangements.

Statements are mailed monthly to patients with an outstanding balance. All balances are expected to be paid upon receipt. Please contact the billing office at (574) 273-6787 option #1 for dialysis bills (burgundy) and option #2 for physician bills (green).

Billing office hours are 8:00 A.M. to 5:00 P.M., Monday thru Friday. If you reach our voice mail, please leave a detailed message and we will return your call as soon as possible. Our Billing office voice mail is also available after hours.

Attached you will find the necessary forms that can be completed and brought to our office prior to your appointment.

Forms Section:

Medicare Part A ~ View Now

Patient Information ~ View Now

Medicare Payment Permit ~ View Now

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