FREQUENTLY ASKED QUESTIONS
Can I get an itemized billing statement?
- If a bundled package was purchased, we cannot itemize. By definition, a bundle is a set of services offered for one all-inclusive price. We can provide an invoice that lists the services included in the bundled rate.
Why isn’t OrthoCarolina participating with my insurance plan? or Why did you leave the network?
- The practice considers several factors when deciding whether to participate with a particular insurance plan. Those factors include the number of patients covered by the plan in our community; the rates the plan will pay for our services; and the administrative requirements the plan places on our staff to authorize and receive payment for the services we render.
Why can't I pay the day of surgery?
- We require payment in advance because the care we offer is expensive to provide. Our physicians use expensive equipment and supplies to diagnose and treat patients. Our surgery center must purchase expensive implants for most surgeries before the surgery is performed. We incur those expenses before you receive the care, so it’s important for us to recover that cost. The surgeon and the ASC block out time in their schedules for your procedure, which makes that time unavailable to other patients. Pre-payment 5 days in advance is required to reserve that time for you. Surgery day is also busy and stressful. Pre-payment reduces the stress of the day and prevents your surgery from being rescheduled if you were to forget your payment.
Why do I have to pay ahead of time?
- While we understand it’s hard to plan for unexpected medical issues, our rates are fair and transparent. We strive to provide as much information up-front as possible, so you do not receive large surprise bills after your care.
- We require payment in advance because the care we offer is expensive to provide. Our physicians use expensive equipment and supplies to diagnose and treat patients. Our surgery center must purchase expensive implants for most surgeries before the surgery is performed. We incur those expenses before you receive the care, so it’s important for us to recover that cost.
- We offer Affirm to patients who need assistance with the pre-payment requirement. We can offer a pre-payment plan allowing you to pre-pay installments toward a surgery date in the future.
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