PATIENT RESPONSIBILITIES

    • Your specialist co-pay is expected in full at the time of service.
    • You will be asked to show your current insurance card(s) and photo ID at every visit. New patients who do not present a current insurance card will be asked to pay in full at the initial visit.
    • Full payment is due at the time of service unless we have a contract with your insurance company. We accept cash, checks, Visa, MasterCard, American Express, and Discover. Please note, returned checks are subject to a $30 service fee.
    • 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. Regardless of insurance coverage, you are responsible for all bills being paid in a timely manner. All unpaid balances will be sent to collections 90 days from receipt of the explanation of benefits. Raleigh Endocrine Associates reserves the right at any time to suspend appointments, or refer you for care elsewhere for non-payment.

 

REGARDING INSURANCE

We do NOT accept Medicaid as either primary or secondary insurance.

We are NOT in-network with Cigna Connect or Ambetter.  Blue Value is the only Health Insurance Marketplace plan we accept.

We are in-network with Blue Home with UNC Health Alliance POS as of January 1, 2020.

Military & Veterans: We accept TriCare Select and Reserve Select, but do not accept TriCare Prime.  We do not accept CHAMPVA.

Please be aware that some services provided at Raleigh Endocrine Associates may be deemed non‐covered services or not medically necessary under Medicare and/or other medical insurance programs. All claims will be filed as a courtesy to all insurance companies when presented with a current and valid insurance card.  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 pre-authorization requirements.

 

SELF PAY AND NON-PARTICIPATING INSURANCE

    • All patients without insurance will be provided with an estimate of charges on the day of their visit.
    • All self-pay charges paid in full at time of service are eligible for a 35% Prompt Pay discount; any unpaid charges must be set up on an approved payment plan with a credit card, debit card, or health savings account card on file.
    • Non-contracted insurance plans are considered non-participating and will be processed as out-of-network. All charges will be subject to all applicable co-pay, co-insurance, deductible, and out-of-network benefits, if any.

NO-SHOW, LATE ARRIVAL, AND SAME-DAY CANCELLATION POLICY

Our goal is to provide excellent care to each patient in a timely manner. 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. Notification allows the practice to better utilize appointments for other patients in need of prompt medical care.

 The fee for a “no-show” or “same-day cancellation” will be $100.00 for new patient appointments and re-consultations, and $75.00 for follow-up visits. All fees must be paid prior to any rescheduling.

  • A “no-show” means any patient who fails to arrive for a scheduled appointment.
  • A “same-day cancellation” means any patient who cancels an appointment less than 24 hours before their scheduled appointment.  Note: Monday appointments must be canceled by noon the preceding Friday to avoid the same-day cancellation fee.

As a courtesy, we attempt to contact every patient with an appointment reminder phone call, e-mail, and/or text message. However, it is the responsibility of the patient to arrive on time.  If you arrive late for your appointment, you may be asked to reschedule.  Due to the inability to fill the missed appointment slot and the corresponding costs associated with open schedules, a $75.00 fee will be charged.

  • A “late arrival” means any patient who arrives more than ten (10) minutes after the scheduled appointment time.

 

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 assist with prescription refills or appointment scheduling after office hours. 

 

BILLING INQUIRIES

For billing inquiries related to ALL PREVIOUS dates of service through October 7, 2019, call 919-442-2406.

For billing inquires related to all dates of service starting October 8, 2019, call 855-214-3969.

***IMPORTANT UPDATE***

Beginning on October 8th, Raleigh Endocrine Associates has partnered with Allscripts to provide billing services.  For billing inquiries related to all dates of service effective October 8, 2019, call 855-214-3969.

Throughout the remainder of the 2019 calendar year, you may receive TWO separate statements, one from MSOC for all dates of service through October 7, 2019, and one from Allscripts for dates of service starting on October 8, 2019.  Please check your statements carefully.

For all dates of service through October 7, 2019, payments may be made online to MSOC via the EZ Pay link provided below.  For billing questions or to set up a payment plan for balances pertaining to all dates of service through October 7, 2019, 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.

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