Policies
 

Cumberland Nephrology Associates, P.A. is committed to providing you with the highest quality medical care possible and in a cost effective manner.  Letting you know in advance of our Appointment Policy, allows for a greater experience for both the patient and physician.  If you have any questions, please do not hesitate to ask a member of our staff.

 

Appointment Policies

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• Please call:   (856) 205-9900 to schedule an appointment.

• Please arrive 15 minutes prior to your scheduled appointment time.  This will allow enough time to complete/update the patient information forms.

• Please bring the following items with you to your appointment:

  • All health insurance cards.

  • Any pertinent medical information, records or test results that may have been given to you by another physician.

  • A list of any medications that you are currently taking and/or the medicines themselves in their prescription bottles.

  • A list of any food allergies and/or drug allergies.

  • Cash, check, Visa or MasterCard to cover co-payments, deductibles or co-insurance, or to make a payment on your account. 

  • A referral if your insurance plan requires it.

• Please inform the receptionist of any demographic (phone number, address, insurance information, etc.) or insurance changes.  

• All cancellations/reschedules require a 24 hour notice.  If the appointment is not cancelled or rescheduled 24 hours in advance, a $50.00 fee will be charged to the patient.  This is not a billable charge to the patient’s insurance company; it is the personal responsibility of the patient.

• All “No Show” appointments will be charged a $50.00 fee.  This is not a billable charge to the patient’s insurance company; it is the personal responsibility of the patient.  If a patient no shows three times, we reserve the right to discharge the patient from the practice.

• Patients more than 15 minutes late to their appointment will be rescheduled to another date and time.

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Financial Policies

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• Payment:  Payment in full is due at the time services are rendered.  This includes co-payments, deductibles, co-insurances and any balance you may have on your account.  As a courtesy we accept cash, check, Visa or MasterCard.

• Patient Balances:  All balances must be paid before any further services will be provided.

• Insurance Claims:  Our office will file insurance claims for all reimbursable services, to your primary and secondary insurance carriers.  Please remember to that you are responsible for all deductible, co-payments, co-insurance and non-covered service amounts.     

• Billing Notices:  You will receive billing statements from our office for account balances that are your responsibility.  Payment in full is due within 15 business days and if not paid, collection efforts will be made.

• No Insurance/Self Pay:  If you have no insurance, payment in full is expected from you at the time of service.

• Referrals:  If your insurance requires a referral, it is your responsibility to obtain that referral prior to your visit.  If you are unable to obtain a referral or a referral is not on file for you, you may be rescheduled or required to sign our Responsibility Waiver form. 

• Insurance:  It is your responsibility to inform us of any insurance changes.  If the insurance company you designate is incorrect, you will be responsible for payment of the service and to submit the charges to the correct plan for reimbursement.