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Patient Financial Policies

  1. Patient Information/Proof of Insurance: At each visit, all patients must complete/verify patient information before seeing the provider. We must obtain a copy of your driver’s license or legal identification and current valid insurance card as proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for payment of services rendered.
  2. Insurance: We participate in most insurance plans, including Medicare. If you are not insured by a plan with which we are contracted, payment in full is expected at each visit. If we are a participating provider with your plan, but do not have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage. Knowing your insurance benefits and rules is your responsibility. Please contact your insurance plan with any questions you may have regarding your coverage.
  3. Referrals: Your insurance may require a referral form from your primary care physician for procedure/service(s) prior to your visit. It is the patient’s or guarantor’s responsibility to obtain the appropriate referrals prior to your office visit. If you are unable to produce a referral at the time of your visit, you will be given the option to reschedule the visit or sign a waiver of insurance and pay for the visit in full.
  4. Co-payments and deductibles: All co-payments must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud. Deductibles are due at the time of notification by your insurance company. Such notification may be a verbal notice at the time of insurance verification, an Explanation of Benefits from your insurance company or a statement from CMP.
  5. Non-covered services: Our providers follow appropriate medical guidelines for standard of care based on your medical condition. Please be aware that some of the services you receive may be determined to be non-covered or not considered reasonable or necessary based on the benefits of your specific plan. You will be financially responsible for the cost of services that are not paid.
  6. Coverage changes: If your insurance changes, please notify us before your next visit to help you receive your maximum benefits. Failure to notify us of insurance changes could result in denial of claims and patient responsibility for payment of the denied claim.
  7. Claims submission: Your insurance benefit is a contract between you and your insurance company. We will submit your claims for the services which have been provided. Your insurance company may need you to supply certain information directly in order to process a claim. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim.
  8. Nonpayment/delinquent accounts: If the patient responsibility portion of your account is over 60 days past due, you will receive a letter stating that you have 10 days to pay your account in full to halt collection activity. In the event your account becomes delinquent, you will be liable for all reasonable collection/attorney fees plus filing and processing costs.
  9. Missed appointments: Our policy is to charge for missed appointments not canceled within a reasonable amount of time. These charges will be your responsibility and must be paid before being scheduled for another appointment.
  10. Release of medical information: You will be provided a copy of our policies at the time of your visit and required to sign a release that authorizes CMP to provide a copy of your medical records if requested by your insurance carrier to process a claim. This release will expire one year from the date of your signature unless cancelled in writing prior to that date.
  11. Release of pharmacy information: You will be asked to sign a release that authorizes CMP to access formulary information and prescription history processed through Rx Hub. This information will assist with the use of your pharmacy benefit and identification of potential drug interactions.
  12. Refunds: In the event that you have overpaid on your account, a refund check will be mailed to the patient or guarantor.

CMP has been recognized by the National Committee for Quality Assurance for meeting the highest standards and performance benchmarks in the use of electronic medical records to enhance patient care.