309.662.7500

Patient Information

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Patient Information

Information for our patients is available from the links below.

Patient Information

Please click on the boxes below for more information

Financial Policies

If you are uninsured, or do not provide evidence of insurance at the time of your visit, you will be required to make payment arrangements with our Billing Office prior to seeing our physicians. Physician office visits require payment in full. If you have questions please call our Billing Office at (309) 661-4805, Monday – Friday, 8:30am to 5:00pm.

Insurance and Health Plans

You will be asked to present current insurance cards each time you see our physicians. We will verify your insurance coverage at each visit, so please make sure to have them with you at the time of your appointment.

For your convenience, we will bill your primary and secondary insurance. Any portion of the fees not covered by your insurance, including deductibles and co-insurance will be your responsibility. You will receive a monthly statement, until the balance of your account is paid in full. If we have not received payment from your insurance company within sixty (60) days, payment on the account will become your responsibility.

So that we may better serve you, please advise us if there have been any changes in your address, phone number, or insurance coverage. This will make the billing and scheduling process less complicated for all involved.

In or Out of Networks

In the ever changing world of networking we may not know if our doctors are in all networks. The decision as to whether a physician is in a particular network at any given time rests with the insurance company. We suggest that you contact your insurance company for your own assurance.

Reasonable and Customary Fees

Some insurance companies have adopted a fee schedule they call “Reasonable & Customary”. Unfortunately, each insurance company has a different schedule. If an insurance company adopts an unusually low fee schedule, they may pay less than you would expect for medical services. Our physicians do not reduce fees based upon individual company fee schedules, and patients are therefore responsible for the balance.

Managed Care / HMO Policies

Most managed plan care members are required to pay a co-payment. We are required to collect co-payments for all office visits. If you do not have the co-pay at the time of your visit, we will be required to reschedule your visit. Co-pays are not required for office visits if you are still within the post-operative period. You may verify your post-operative period with our front desk receptionists.

Your managed care insurance requires that you have a referral from your Primary Care Provider prior to treatment at our office. In most cases, if you are a first time patient, we have already obtained a referral from your Primary Care Provider. However, you are ultimately responsible for making sure your insurance company has a referral for each visit to our clinic. Please contact your insurance company to verify approval prior to all of your visits to our office.

Managed Care / HMO Policies

Most managed plan care members are required to pay a co-payment. We are required to collect co-payments for all office visits. If you do not have the co-pay at the time of your visit, we will be required to reschedule your visit. Co-pays are not required for office visits if you are still within the post-operative period. You may verify your post-operative period with our front desk receptionists.

Your managed care insurance requires that you have a referral from your Primary Care Provider prior to treatment at our office. In most cases, if you are a first time patient, we have already obtained a referral from your Primary Care Provider. However, you are ultimately responsible for making sure your insurance company has a referral for each visit to our clinic. Please contact your insurance company to verify approval prior to all of your visits to our office

Auto & Personal Injury

If your visit is the result of an auto accident, or personal injury, you will be required to provide the following:

  • Name and address of the liability insurance
  • Date of your accident
  • Claim number / Policy number
  • Adjuster’s name and phone number
  • Secondary medical insurance information

As physicians, we cannot rely upon pending litigation for reimbursement. We request direct payment from the insurance company, or from you in any matters of litigation. We will bill the insurance company directly. Upon written request, we will provide medical records to your attorney for a nominal fee. We do not accept ìLetters of Protectionî from any attorney for our charges.

Workers Compensation

If the reason for your visit to our office is due to a work injury, it is necessary that you have full claim information and prior authorization from your workers compensation insurance carrier before your office visit. We will need the following information from you:

  • Workers Compensation Insurance name and address
  • Claim Number
  • Date of Accident
  • Adjuster’s name and phone number
  • Employers name and address

When we receive verification of your benefits, we will schedule your appointments.

If you cannot verify your benefits, you will be responsible for payment at the time of service. Authorization must be obtained from your workers compensation insurance for all services rendered by our office. Please note that we do not contact your employer for this information. This information is your responsibility to provide to our office.

Disability Forms

As a service to you, we will complete disability forms for wages and insurance policies. We complete these forms in the order that we receive them. We can not complete these forms while you wait in the office. Forms will only be completed when we receive the required fee of $20.00.

Patient Records

Central Illinois Neuro Health Sciences will charge for patient records prior to receiving the records.

Billing, Statements, Accounts Receivable

For Patients

Beginning September 1, 2011, CINHS and our associated entities Bloomington Rehabilitation Associates and Diagnostic Neuro Technology moved to a new billing system.  Services on or around 9/1/11 following are processed on this new system, and balances for prior services will begin to be forwarded onto the new system.  Statements issued from the new system will be different from their old formate.

Also, if you have any questions about your statement or other issues related to your financial account with us, you must contact our service provider with your question.  You may reach them by telephone or Internet.

Telephone:  877-770-1155, 8:00 AM – 5:00 PM Monday through Friday CST

Internet:  http://www.peryourhealth.com

Please note that nursing and clinical staff do not have the ability to access your financial account.  Any questions or inquiries must be directed to the phone number and website listed above.

For Attorneys

If you receive communication from us, please direct your response to the originator or return address listed on that form.  For any new inquiries, you will have to begin by calling 877-770-1155.