Patient Information Financial Policy
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Main Line HealthCare physicians and staff are committed to providing you with the best possible care. We will be happy to discuss our professional fees with you at
any time. Your clear understanding of our Financial Policy is important to our professional relationship. Please ask the office
manager if you have any questions about our fees, financial policy, or your financial responsibility.
FULL PAYMENT IS DUE AT THE TIME OF SERVICE, unless previous arrangements have been made. In the case of a minor, the patient’s accompanying adult, parent, or guardian
is responsible for payment at the time of service. This includes all insurance co-pays.
We accept CASH, CHECKS, VISA, and MASTERCARD.
We participate with the following insurance carriers:
- Medicare
- Railroad Medicare
- PA Blue Shield
- Premier Blue
- Blue Choice
- Personal Choice / Keystone Health Plan East
- InterCounty
- Aetna- (HMO and PPO Plans)
- CIGNA
- Clear Care
- Choice Care (Humana)
- United Healthcare (MAMSI, Evercare, & Oxford)
- Community Care (behavioral health)
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- First Health/CCN (Coventry Health Care)
- Devon Health Services
- Galaxy Health Network
- InterGroup
- PPO Next (Mastercare PPO & PHN)
- Multi-Plan
- Great West Life
- NPN
- PHCS
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Preferred Care
- Workmen’s Compensation and Auto Insurance (with appropriate claim information)
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If you are covered by any of these carriers, it is necessary for you to provide our office staff with the required information
that enables us to bill your carrier. In some circumstances even participating insurance plans may leave a balance that you
must pay. It is not our responsibility to know what limitations, exclusions, deductibles or copays each group insurance plan
might leave to a patient’s responsibility. Your doctor may participate with other insurance plans not listed above. Please check with the practice office staff to see if your insurance plan will
be accepted
Other Non-Participating Insurance Plans
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Inpatient, Nursing Facility and Procedure Charges If an inpatient service, or office diagnostic /surgical procedure is performed, we will file an insurance claim as a courtesy
to our patients. You must provide our office with specific insurance company information in order for this claim to be filed.
After 30 days if payment has not been received, the balance will be transferred to your responsibility. We will not become
involved with disputes between you and your insurance company regarding deductibles, co-insurance, covered charges, secondary
insurance, “usual and customary” charges, etc., other than to supply factual information as necessary. You as the insurance
policy holder are responsible for the timely payment of your account.
Delinquent Accounts An account is considered past due 30 days following billing unless other arrangements have been made. Unpaid accounts beyond
90 days are considered delinquent and may be forwarded to a collection agency.
Missed Appointments We would appreciate your help and the courtesy of a call if you are unable to keep an appointment. Please notify our office
at least twenty four (24) hours prior to the appointment time. We reserve the right to charge a missed appointment fee for
each appointment that is not canceled in a timely manner.
Billing Office Hours For your convenience, our billing office is staffed Monday through Friday from 8:00 AM to 4:00 PM. The phone number is 610-648-1640
or 800-953-9792. Our knowledgeable staff will be happy to address any questions or concerns you may have regarding our financial
policy or your account.
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Main Line HealthCare 2 Industrial Blvd., Suite 400 Paoli, PA 19301 Email Us!
Billing Inquiries, Call: 610-648-1640 or 800-953-9792
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