North Dallas ENT Billing Policies

  • Office charges are due and payable at the time of service.
  • Our Billing Office can help facilitate insurance claims and questions you may have. Accounts 60 days old are considered delinquent and those at 90 days will be reviewed for action.
  • Professional services are rendered to the patient, not an insurance company. Since every insurance plan is different,  please be sure to check your coverage and ask questions before services are rendered. We are here to help in any way   we can.
  • The doctor may perform certain procedures or services that are necessary as part of your evaluation and treatment, for   example, a scopeof your nose or throat. Because this procedure, according to the American Medical Association, is   considered an office surgery, your insurance company may or may not apply these  procedures to your deductible. You   will be responsible for your co-insurance at the time that services are rendered and also any portion of your bill that  your insurance plan does not cover.
  • If you have questions about your specific insurance plan and your financial responsibility please ask one of the   receptionists prior to seeing the doctor. Your insurance can deny payment for services or procedures after they are   performed. We advise that you know the benefits of your individual plan.
  • Payment may be made by cash, check, Visa or   MasterCard.The office participates in a variety of  health insurance   programs.
  • If you are a participant in a Managed Care program, you are expected to pay your co-payment at each visit. Failure to do so can result in action by your insurance carrier. Managed Care patients are liable for co-payments, per their carrier, for appointments not canceled in advance.
  • The Billing Office files claims for all carriers that  we accept. Payments by the insurance carriers will be made directly to  our office. They will provide you with an Explanation of Benefits (EOB) of the charges, amount covered by your policy,  and payments made to our office on your behalf.
  • Your insurance may or may not allow a portion of your bill, the remaining balance is your  responsibility. If you have a   secondary plan, as a courtesy, the billing office will submit the primary payment information to the secondary carrier.
  • The Billing Office submits all Medicare claims for you. We also provide Medicare with your secondary insurance information. Through their crossover program, your secondary insurance will be billed directly by Medicare. Please check to see if your secondary insurance requires a signed waiver in order for this to happen. Our office will bill insurances not included in the crossover program.
  • You are responsible for yearly deductibles, non-covered services, and co-payments when there is no secondary  insurance. As a courtesy, the Billing Office files claims to carriers that we do not accept. Payments by the insurance   carriers may be sent directly to the patient instead of our office. It is the responsibility of the patient to remit payment  to our office in these cases. If you have a secondary plan, as a courtesy, the billing office will submit the primary payment information to the secondary carrier.
  • Special consideration will be given to patients financially unable to pay in full at the time of service. Arrangements should be made in advance with the Billing Office.
11970 N. Central Expressway
Suite 400
Dallas, TX 75243
Legacy Medical Village
5425 W. Spring Creek Parkway
Suite 145
Plano, TX 75024

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