There are over 500 insurance carriers within the State of Connecticut. Soundview Medical Associates’ prides itself on participating with almost all of these carriers.
To be accurate, patients should check with their insurance carriers to verify that Soundview Medical Associates’ physicians are participating.
Each time you visit Soundview Medical Associates you will undergo a “mini” registration. This mini registration will consist of verification of your current demographic information, current insurance and at times, requesting a copy of your insurance card and a photo ID. This will allow us to keep your medical record up to date.
Our office accepts insurance from all major insurance companies. As a courtesy, we will file your claim to the respective insurance company. To avoid any misunderstandings regarding payment for professional services, Soundview Medical Associates requests that you authorize all insurance company payments directly to our office.
In an effort to control health care costs and better serve our patients, Soundview Medical Associates will make every effort to maximize the benefits of your insurance plan. However, there may at times be a difference in interpreting the benefits of your plan. If such a situation arises, you may be asked to assist us in contacting your insurance carrier. You will be responsible for any portion of your bill that is denied, applied to a deductible, considered a co-payment or co-insurance portion, or is considered non-covered by your insurance plan.
All self-pay patients are required to pay at the time of service. Co-pays must be paid at the time service is rendered. These co-pays are a required part of your contract with your insurance carrier and increase the cost of billing unnecessarily if not paid at the time of service. If you have a high deductible plan that has not been met, a deposit of $50.00 may be required upon check in. Once we receive the Explanation of Benefits from your insurance company, we will bill you for the balance that you owe. This amount is due 30 days from out posting date.
Accounts that are repeatedly ignored may be sent to collections. If this happens, you may have your credit adversely affected, and you will be dismissed from the practice and asked to find a new physician.
If a check is returned for insufficient funds, you will be charged an additional $15 on top of the amount of the check. This needs to be paid by money order, cashier’s check, cash or credit card.
If you should want to suspend or terminate your treatment, any fees including reasonable fees as allowed by public health law for copying of medical records will be immediately due and payable.
If you need to establish a payment plan, please contact our Business Office at (203) 299-0151 prior to your scheduled appointment. Patients who are unable to pay for services at time of visit will be required to complete a financial disclosure form.
For your convenience, we accept Cash, Checks, VISA, MasterCard Discover and American Express.
We require 24-hours notice to cancel an appointment. After three no shows, the doctor may discontinue services for you. Please help us serve you better by keeping your scheduled appointments.
If we have a verified claim and authorization to treat you from your carrier, no payment is necessary. If we are are not able to verify your claim or obtain authorization to treat, payment in full is requested at the time of the visit.
We request that you provide us with your carrier, claim number and adjuster’s name for us to verify before your scheduled appointment.
Motor Vehicle Accidents
All patients are personally and financially responsible for their medical care regardless of the nature of the injury or potential third party involvement. Patients often believe that the other party will pay their medical bills as the accident was “their fault”. Because of the individual nature and complexity of these cases, it is not possible for us to get involved in collecting from an attorney, business, motor vehicle carrier or other person’s insurance carrier for payment.
In Connecticut, if you have medical coverage on your auto policy, your auto policy must be billed as primary.
If you did not purchase a medical rider on your policy, you must bill your private health insurance with a disclaimer of “no medical coverage on the auto policy”.
This is a personal matter between the patient and the other party. We will gladly assist you with all of your medical record information requests, but we require payment for services rendered to be made at the time of service.
As always, if we can be of assistance with any questions you may have, please contact our Billing Office at 203-299-0151. You may also email [email protected].