Expanded Payment/Collections Policy

Payment Required at Time of Service

Self-pay Patients/non-covered services 

  • Any past due amount (account aging greater than 30 days) must be collected before patient can see doctor.
  • Upon approval by billing staff, we may allow patients to carry over part of their balance.
  • Discounts will only be issued to patients with no past due balance and paying their balance in full on date of service.  (Discount only applied to same-day services.)
  • Account aging on any amount due shall start as of the date of service.
  • Accounts with >120 days aging will be considered in default and will be subject to collections and possible legal action.

 

Patients with insurance

  • Any past due amount (account aging greater than 30 days) must be collected before patient can see doctor.
  • Upon approval by billing staff, we may allow patient to carry over part of their balance.
  • Patient must pay co-pays (if any) as determined by their policy.
  • Patient may be asked to pay an estimate of any co-insurance/deductible as determined by their policy.
  • Patient’s insurance will be billed on the date of service. Insurance must respond within 30 days of initial billing. 

Insurance Filing Issues

  • We must verify your insurance card each time you visit our office. Policy/group numbers change. Claim addresses/Phone numbers change. Insurance will change claims addresses often just to delay claim payments.
  • If you are diagnosed with a chronic medical condition such as diabetes, asthma, high blood pressure, thyroid disease, etc., your insurance may evaluate your medical history for pre-existing conditions. This will involve getting records from any physician/clinic/hospital that you may have visited for up to two years prior to the diagnosis. This should only affect individuals who have had an insurance policy for less than two years. If you have switched insurances in the last two years, make sure your employer/insurance has a copy of “Certificate of Credible Insurance Coverage” on file. This will prevent any pre-existing conditions from affecting your coverage. You may have to contact your insurance to determine what medical providers may be holding up your pre-existing condition evaluation.
  • Insurance will sometimes deny a claim and/or claim line item incorrectly or without proper description. Physician offices are not bound by contract to write off all denials. We provide medical care in accordance with the medical standards/policies of the practice. We make every attempt to accommodate the benefit limitations of our patients’ insurance coverage. If you are billed for claim/line items that your insurance denied, you may want to contact your insurance company to determine the reason for the denial.
  • Automobile/Accident insurance usually only pays claims directly to the policyholder. We will provide you with a claim form for reimbursement if your account is paid in full.

 

 

Collections Policy

  • Payment is due at time of service. Aging on accounts begins as of the date of service.
  • We will allow 30 days for your insurance to respond to a claim. 
  • We will send monthly statements for up to 3 months on any given balance greater than $5.00.
  • Patients may be allowed to pay off balances over a 3 month period. The arrangements must be approved by the billing department staff.
  • After 90 days, any unpaid account may be referred to collections.
  • Collections will have two phases. The initial phase will consist of letter/phone contact. Patient’s balances will not be written off. After 90 days, patients who do not respond to initial collection phase may be placed into traditional collections, including credit bureau reporting and possible legal action. These accounts will be considered in default. The patient may be discharged and not allowed to return to the practice.
 

 

Map & Directions

Milestone Family Medicine
12 Arborland Way
Greenville, SC 29615

864-458-7000 Appointment
864-297-6010 Front Desk
864-458-7673 Fax

Business Hours
Monday - Thursday: 8 a.m. - 5 p.m.
Friday: 8 a.m. - 11:30 a.m.
Saturday: 9 a.m. - Final Appointment
Subject To Seasonal Variability
Sunday: Closed

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Milestone Family Medicine

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