INSURANCE

Raleigh Endocrine Associates is contracted with most major insurance plans including: Aetna, Blue Cross and Blue Shield, Cigna, Medcost, Medicare, Tricare Select, and United Healthcare.  We also accept most major Medicare Advantage Plans including:  Aetna Medicare,  Blue Medicare, Humana, and United Healthcare. 

We will accept all insurances, but may be considered “out-of-network” for any non-contracted carriers.  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 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, 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

  • At each visit, you will provide your current and correct insurance information. You will be asked to show your current insurance card at every visit.
  • New patients will also need to show a valid government-issued photo ID. 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.
  • You 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. 

APPOINTMENTS

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.

NEW PATIENTS:

Because our providers spend a large amount of time with new patients, we require a $100 deposit to hold your initial appointment. We accept Visa, MasterCard, Discover, American Express, check, or cash.

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.

 

RETURNED CHECKS

Returned checks are subject to a $30 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.

Credit Card on File Program Overview and FAQ

Raleigh Endocrine Associates is pleased to provide the convenience of a Credit Card on File program for our patients. This is a new way for you to pay your balance without receiving paper statements from us.

What is Credit Card on File (CCOF)? CCOF is a system where we keep credit card information on file with a PCI compliant third party to process balances. The credit card information is NOT kept on file here in our office or on any of our computers. We use a gateway that is completely HIPAA compliant as required by law. Once we receive the EOB for the services you received, we will process the balance owed to us. We will access the third party to process a payment.

Here’s how it works: At check-in, we will still collect payment for your regular co-payment or co-insurance amount. We will not usually know the exact total amount that you owe us until we receive the Explanation of Benefits (EOB) from your insurance company, which is usually several weeks later. That’s when we will charge your credit card for the balance owed, if any. The amount we are collecting is the same amount that you would ordinarily receive a bill for in the mail. The difference is that you will not have to call into the office or write a check to make a payment. It will not cost you a stamp or the time to mail the payment.

How will I know how much you are going to charge me? You will receive a letter in the mail from your insurance carrier that explains the cost for your office visit, how much they pay, and how much you pay according to the terms of your plan. This is called your Explanation of Benefits, or EOB. We receive the same letter that you do. It arrives 15-30 days after your charges are filed. We look at each EOB carefully and see what your insurance has assigned as patient responsibility. This is the same way we would normally determine how much to bill you via mail.

What if I can’t afford the whole balance? Raleigh Endocrine Associates will set the maximum initial charge to $300. If the balance on the Explanation of Benefits exceeds $300, you will receive a courtesy call 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.

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.

Please read the following notes:

  • 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.

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