Great River Spine & Sport
PATIENT FORMS
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DO I NEED A REFERRAL?
Great River Spine & Sport is part of some of the largest managed care organizations in the world. These encompass private health insurance, Workers' Compensation and all auto insurance companies. It is an extremely rare case that needs a referral for care, but to make sure, our promise to you is that we will contact you insurance company to verify benefits. We will inform you of these and if it's in your best interest to treat elsewhere we will tell you that. So the bottom line is that you probably don't need a referral but if you have a question about it, call us and we will find out for you.
WILL MY INSURANCE COVER THIS?
Great River Spine & Sport is a medical clinic that is covered by almost all insurance benefits. As a service to you we will call and verify your benefits upon your first visit. You can then make your decision about coverage and ability to follow through with your recommended plan of care. Through experience, we have found that our treatement programs are widley accepted by all insurance plans.
GROUP OR INDIVIDUAL INSURANCE
We attempt to take out as much of the "insurance hassle" as
possible for you. We'll happily telephone your insurance company to verify
your coverage benefits. Please remember, however, that the benefits quoted
to us by your insurance company are not a guarantee of payment. We will
file your claim and await payment for 90 days. If your company pays the
benefits they quote to us, the only services you will be responsible
for are any non-covered services, deductibles or co-pays. If you have
any questions at all regarding you financial responsibilities at our
office, please do not hesitate to ask. Our insurance clerk has years
of experience and will be happy to assist you.
PATIENTS WITHOUT INSURANCE
An increasing number of patients do not have insurance, or have plans
with limited coverage, such as catastrophic policies. We realize that
no one wants to build up a large bill. Therefore, we have several plans
so those patients may receive complete care without undue financial
difficulty. Of course we are always happy to accept cash, your personal
check, MasterCard, Visa or Discover cards.
"ON THE JOB" INJURY (
If you are injured on the job, your care should be paid for under your
employer’s Worker’s Compensation insurance. You will need
to inform your employer of the accident and obtain the name and address
of the carrier of their insurance. If your employer does not provide
us with this information, if a settlement has not been made within 3
months, or if you suspend or terminate care, any fees and services are
due immediately.
PERSONAL INJURY OR AUTOMOBILE
ACCIDENTS
Please notify your auto insurance carrier of your visit to our office
immediately. Notify our insurance department immediately if an attorney
is representing you. Although you are ultimately responsible for your
bill, we will wait for settlement of your claim for up to six months
after your care is completed. Once the claim is settled or if you suspend
or terminate care, any fees for services are due immediately.
MEDICARE
We do accept assignment from Medicare. The check is usually sent directly
to our office in payment of the services that Medicare will cover,
which for Chiropractors is ONLY manual manipulation of the spine. Medicare
pays 80% of the allowable fee once the deductible has been met. You
are required to pay the deductible and the remaining 20% as well as
any non-covered services. Our office completes and files the forms
for Medicare at no charge.
SECONDARY INSURANCE
Please inform us of any secondary insurance you may have. We will assist
you if you need help in filing.
