Raleigh Endocrine Associates is contracted with the following carriers: BCBS-NC, Cigna, Medcost, Medicare and Supplements (Secure Horizons, Aetna Medicare, Anthem BCBS), Aetna, United Healthcare, Great West, and Wellpath. We are not accepting any new Medicaid patients.
We will accept all insurances, but may be considered “out-of-network” for any non-contracted carriers. All patients will need to review their out-of-network benefits. If you have an HMO, you will be responsible for getting the proper authorization prior to your appointment.
Due to the number of new plans available on the market and the constant changes in insurance carrier policies, Raleigh Endocrine Associates will not guarantee insurance coverage or payment for any service. Patients are responsible for understanding their own coverage, co-pays, deductibles and any referral or other requirements. You will be solely responsible for all unpaid balances. Raleigh Endocrine Associates will file with your insurance based on the information you have provided at the time of service. We will make reasonable efforts to address denied claims.
At each visit, you will provide your current and correct insurance information. You will be asked to show your current insurance card and driver’s license. New patients who do not have a card will be asked to pay in full at the initial visit. Existing patients with insurance who do not present a card will be asked to sign a waiver accepting full responsibility for any charges related to services provided on that date. Claims rejected due to incorrect or incomplete information provided by the patient will be the patient’s responsibility.
If you have an insurance that requires a referral, you will need to present a printed copy of the referral at check-in. If you do not have your referral, you will be asked to sign a waiver accepting full responsibility for any charges related to services provided on that date.
Your co-pay is expected at the time of service.
If your insurance fails to pay your claim for any reason, you will be responsible for contacting your health plan for payment inquiry.
Patients will be notified of all balances unpaid by your insurance. All unpaid balances will be sent to collections 90 days from receipt of the explanation of benefits.
Patients are seen by appointment only. We realize your time is valuable and we do our best to honor your appointment time; however, unforeseen emergencies and delays may occur.
CANCELLATION FEES: All cancellations require 24 hour advance notice to avoid any charges. Patients will be required to pay all no show/cancellation fees prior to any rescheduling.
Same-day cancellations and no-shows for new patient consultations and established re-consultations will be charged a $100 fee.
Same-day cancellations and no shows for follow-up visits will be charged a $75 fee.
SELF-PAY AND NON-PARTICIPATING INSURANCE
Self-pay is anyone that does not have health insurance. Payment is expected in full at the time of service without exception. Self-pay patients must sign Raleigh Endocrine’s separate Self-Pay Policy describing all terms and conditions of being seen as a self- pay patient.
Non-contracted insurance plans are considered non-participating and will be processed as out-of-network. All charges will be subject to deductibles and out of network benefits, if any.
All claims will be filed as a courtesy, to all insurance companies when presented with a valid and current insurance card.
Returned checks are subject to a $30.00 service fee.
MEDICAL RECORDS & FORMS
There is a $30 fee for medical records. Medical forms that require physician completion and signature, and specially requested letters are subject to a fee of $20-$60.
Physicians may need to contact patients, family members or others which could result in additional charges which are not covered by insurance. These charges typically bill at $17-$27 per call, based on length and complexity.