Terms & Policies
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.
Third Party Payors
If you are being represented by an attorney as a result of an accident or injury, including motor vehicle-related injury, we will submit claims to your group health plan, and you will be responsible for your bill at the time services are rendered. No arrangements will be made based on prospective third-party payors, nor will we submit claims to your motor vehicle carrier. You may contact your adjuster to discuss how you can be reimbursed.
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
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.
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.
Central Illinois Neuro Health Sciences will charge for patient records prior to receiving the records.
Billing, Statements, Accounts Receivable
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
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.
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.
Personal identification information
We may collect personal identification information from Users in a variety of ways, including, but not limited to, when Users visit our site, fill out a form, respond to a survey, and in connection with other activities, services, features or resources we make available on our Site. Users may be asked for, as appropriate, name, email address, mailing address, phone number. Users may, however, visit our Site anonymously. We will collect personal identification information from Users only if they voluntarily submit such information to us. Users can always refuse to supply personally identification information, except that it may prevent them from engaging in certain Site related activities.
Non-personal identification information
We may collect non-personal identification information about Users whenever they interact with our Site. Non-personal identification information may include the browser name, the type of computer and technical information about Users means of connection to our Site, such as the operating system and the Internet service providers utilized and other similar information.
Web browser cookies
How we use collected information
Central Illinois Neuro Health Sciences may collect and use Users personal information for the following purposes:
To run and operate our Site
We may need your information display content on the Site correctly.
To improve customer service
Information you provide helps us respond to your customer service requests and support needs more efficiently.
To run a promotion, contest, survey or other Site feature
To send Users information they agreed to receive about topics we think will be of interest to them.
To send periodic emails
We may use the email address to respond to their inquiries, questions, and/or other requests.
How we protect your information
We adopt appropriate data collection, storage and processing practices and security measures to protect against unauthorized access, alteration, disclosure or destruction of your personal information, username, password, transaction information and data stored on our Site.
Sharing your personal information
We do not sell, trade, or rent Users personal identification information to others. We may share generic aggregated demographic information not linked to any personal identification information regarding visitors and users with our business partners, trusted affiliates and advertisers for the purposes outlined above.
If User decides to opt-in to our mailing list, they will receive emails that may include company news, updates, related product or service information, etc.
Your acceptance of these terms
By using this Site, you signify your acceptance of this policy. If you do not agree to this policy, please do not use our Site. Your continued use of the Site following the posting of changes to this policy will be deemed your acceptance of those changes.
This document was last updated on September 26, 2018