As a courtesy to you, the Clinic will verify your health insurance coverage and benefits prior to your visit. We will also file a claim with your insurance carrier once medical services have been rendered. To assist us with this service, please contact our registration representatives at least 24 hours in advance of your first appointment (if you haven’t done so already or if your plan information has changed) at (713) 526-5511, x 4624, to provide us with your health insurance plan information.
We encourage payment for services rendered at the time of your visit, including payment of applicable deductibles and co-pays. We accept payment by cash, check, VISA, MasterCard, Discover, and American Express.
The Clinic will complete and submit medical claim forms to Medicare and one secondary carrier for services rendered at the Clinic or by a Clinic physician. Generally, the Clinic is directly reimbursed for 80% of Medicare’s allowed amount minus your unmet deductible. A claim will be filed with your secondary insurance company, if any, after Medicare pays. You will be responsible for the remaining balance (the “co-insurance”), plus any part of the deductible you may owe. All clinical laboratory services are reimbursed at 100% of the amount approved for each test. For clinical laboratory services only, no deductible or co-insurance is required of you, as long as the tests are deemed by Medicare to be medically necessary and provided within required time frames.
Patients scheduled for certain procedures including, but not limited to, CT Scans, MRIs, Nuclear Cardiology Studies, and Echocardiograms, will be responsible for making payment arrangements for the self-pay portion of the study prior to the test being performed. This includes the estimated amount that will be owed due to your annual deductible, coinsurance, non-covered services, frequency limitations, or lack of medical coverage.
Patients are required to pay for Cardiac Score (heart) scans at the time of service.
Our goal is to reimburse over-payments timely. If you have questions about a refund, please contact Patient Financial Services at (713) 520-4700.