WILL MY INSURANCE COVER MY VISIT?
We are contracted with and accepts most local insurance plans, but not all. As a service to our patients, we will file eligible claims to most plans. We do not file claims to specific non-participating HMO plans or to plans outside of the U.S. Prior to your appointment, you should consult with your insurance carrier or your benefits booklet for a list of providers and benefits available to you. This will allow you to verify the services and providers you seek are covered, identify any authorization requirements or exclusions, and confirm the level of benefit available. Many plans will provide some degree of coverage to providers not listed in their network.
Coverage determinations are ultimately made by the insurance company after a claim is submitted; therefore, we are unable to guarantee their payment. It is necessary that you are aware of the details of your coverage before obtaining care as you will be held personally responsible for your account balance regardless of whether or not your insurance pays the total balance of your claims. Your insurance policy/employee benefits plan is a contract between you and your insurance company/employee benefits plan. We are not a party to that contract.
DO I NEED A REFERRAL?
Most insurance companies will indicate if you need a referral on the back of your card. If your insurance card doesn't have this information listed. It is best to call your insurance company and ask if you need a referral for a specialitst.
We are required to follow the guidelines of your managed care plan, which may mandate that when you visit a specialist, such as us, you must first obtain a referral from your primary care physician. If a referral is required, you are financially responsible for the services received unless your referral is presented at the time of the visit. If, at the time of your visit, you do not have a referral from your primary care physician naming Dr. Christopher Blakeslee as the referred provider, you will be financially responsible for all services received, due in full upon completion of the visit.
CAN I GET A SAME-DAY APPOINTMENT?
Often times yes! Give us a call or text at 732-833-6888.
WILL I NEED AN AUTHORIZATION FOR MY PROCEDURE?
Many insurance plans require prior authorization for hospital admissions and certain outpatient procedures or tests. In some instances, your physician may be aware of these requirements and will proceed with obtaining the proper authorization; however, it is impossible to know these requirements for all insurances and procedures. It is important that you check with your insurance carrier to verify if your procedure or test requires authorization and let your physician know. Claims denied for lack of pre-authorization may be billed to the patient.
DO WE OFFER CASH PAY IF I DO NOT HAVE INSURANCE?
Yes, we do. If you let our office know what you need to be seen for, we can go over the pricing options. To help offset the cost, we offer a Prompt-Pay Discount. Uninsured patients will be asked to pay their balance in full at each visit. Checks are not accepted for self-pay patients.
HOW LONG UNTIL I GET MY RESULTS?
Our office sends our labs out to different labs depending on your needs. Unfortunately, lab results can vary with the labs. Most results are recieved within 1 to 2 weeks. Once we recieve the results, our doctor will reiview them and our office will reach out to you to discuss the results.
DO YOU TAKE WORKMANS COMP APPOINTMENTS?
Our office provides workers’-compensation-related services within several departments. When scheduling your appointment, please notify the receptionist that your visit is related to a work injury. In order to file your workers’ compensation claim, we are required to obtain the following information:
Employer name, address, phone number and an employer contact
Date of injury
Claim identification number and/or employer authorization
Name of workers’ compensation insurance company
Claim address and phone number
This information may be obtained at the time of your visit or by phone. Attempts will be made through your employer to verify authorization for your visit. Patients seen for work-related injuries who are unable to provide the required information, or for whom the employer has not provided us with authorization, may be asked to make payment for their services.