INSURANCE

Raleigh Endocrine Associates is contracted with most major commercial insurance and Medicare Replacement plans.

We will accept all insurances, but may be considered “out-of-network” for any non-contracted carriers.  All charges are subject to deductible, co-pay, co-insurance and out of network benefits, if any. All claims will be filed as a courtesy to any insurance company when presented with a current and valid insurance card.

SELF PAY

All patients without insurance are expected to pay in full at the time of service without exception. We accept cash, check, Visa, MasterCard, Discover, and American Express.

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, co-insurance, 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.

 

PATIENT RESPONSIBILITIES

  • You will be asked to show your current medical insurance card at every visit. New patients will also need to show a valid government-issued photo ID. New patients who do not present an insurance card will be asked to pay in full at the initial visit. Existing patients with insurance who do not present a current insurance card may be asked to sign a waiver accepting full responsibility for any charges related to services provided on that date, should your insurance not be able to process your claim, or if we are unable to file a claim due to not having your current and correct medical insurance information.
  • Your specialist co-pay is expected in full at the time of service without exception.
  • If you have an insurance plan 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.
  • You will be notified of all balances unpaid by your insurance. All unpaid balances, after two monthly billing statement cycles, may be referred to a collection agency.
  • For Diabetic Patients: Please complete these items 1-2 days before your appointment— Download your glucometer readings or bring a written log.  If you have a pump, download your current pump settings and download your pump or sensor results to bring with you.

APPOINTMENTS

  • Beginning in late September 2019, all patients who have provided us with a cell phone number will receive a TEXT MESSAGE two days prior to the scheduled appointment time.  Your “YES” OR “NO” response to this message is needed to confirm or cancel your appointment.  If you wish to opt out of these text reminder messages, you may send “STOP”.
  • Please help us serve you better by keeping scheduled appointments.  ​All patients should arrive at least 15 minutes prior to the scheduled appointment time to allow sufficient time for the check-in process.
  • Should you arrive more than 10 minutes past your appointment time, you may be asked to reschedule your appointment.  Note: We will make every effort to have you seen on the same day, but this may not always be possible.

If it is necessary to cancel an appointment, patients are required to call or leave a message at least 24 hours before their appointment time. For more information, please review our “NO-SHOW, LATE, AND CANCELLATION POLICY”.

 

RETURNED CHECKS

Returned checks are subject to a $30 service fee.

 

MEDICAL RECORDS & FORMS

We will release Medical records with a written authorization only. There may be a charge for each request according to North Carolina statute. Medical forms that require a provider signature are subject to a $20-$60 fee.

 

TELEPHONE FEES

An on-call physician is available to our established patients after hours for non-life threatening emergencies, by calling our main office number 919-876-7692.

Should you need to contact the on-call physician, please be aware that this may result in additional charges, which are not covered by insurance. These charges typically bill at $30-60 per call, based on length and complexity.

We are not able to handle prescription refill requests after office hours.

Raleigh Endocrine associates has now partnered with the EZ Pay Med portal to allow our patients to review and pay bills on-line. Simply click on the link below and follow the easy to use instructions.

For all billing questions a representative can be reached at 919-442-2406 to assist you.

Instructions:

  • You will need a copy of your latest statement to access the on-line system.
  • The statement will contain a PIN number that you will use to access your account.
  • The PIN will be made up of 4 sets of numbers such as: 123-4567-8901-2345
  • Once a statement has been mailed, the PIN will only be good for the next 27 days. A new one will be generated with each statement.
  • You will be prompted to provide further identification information such as your date of birth as an additional security measure.

Credit Card on File Program

Raleigh Endocrine Associates now offers the convenience of a Credit Card on File program for our patients.

What is Credit Card on File (CCOF)?

CCOF is a system which gives us the ability to swipe your credit card, debit card, or health savings account card to accept payment in the office and have the number securely stored on a remote server with a Credit Card Merchant Service. The full credit card number is NOT visible to us and is NOT stored in our office. We want to assure you that our software has been thoroughly vetted according to the strict data retention rules required by the merchant processing system. The only information stored at our office in our secure, encrypted system, is the name on the card, the expiration date, and the last four digits of the card number. 

How does Credit Card on File (CCOF) work?

When the insurance claim processes, your balance, if any, is processed on the card. Raleigh Endocrine Associates will set the maximum initial charge to $300.00.  If your balance exceeds $300.00, you will receive a courtesy call from our billing company prior to the card being charged the excess balance. If you need to make partial payments over several months, CCOF will conveniently provide this option. You will be required to sign a CCOF payment plan authorization, setting the amount per month that will be applied automatically using the credit card on file. Payment plans will be set at a maximum duration of six months for high balances.

How do I enroll in the Credit Card on File (CCOF) program?

You may download the authorization form here.


Raleigh Endocrine Associates reserves the right at any time to suspend appointments, or refer you for care elsewhere for non-payment.