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Insurance Information

ABOUT OUR FEES

Your fee is based on the time spent with you during your visit, the complexity of your medical condition and any treatment that is provided. But proper attention to your care also requires additional time spent beyond that when you are in the office. Such time may be used to:

• Create or maintain your permanent medical record.
• Review, interpret and document all lab test results and communicate those results, orally or in writing to you.
• Review current X-ray or scan reports, compare them with reports of previous scans, and, when the studies are abnormal, consult with the radiologist.
• Prepare and mail consultation reports and letters suggesting patients come in for a follow-up visit.
• Consult via phone about your case with referring or consulting physicians and other health care providers.
• Prepare referral letters to additional specialists, as needed.
• Prepare patient education materials.
• Conduct medical research relevant to your case.
• Communicate with pharmacies about your prescriptions.
• Complete insurance applications and claim forms.
• Conduct utilization review negotiations with hospitals and insurance companies.
• Review and manage hospital records.
• Draft letters of necessity to obtain medical services, instruments or prescriptions that you need.
• Arrange for hospital admissions and follow-up consultations with nurses, attending physicians and house staff.
• Draft reports and forms, including home health care orders and nursing facility orders.

All these activities add to our cost of doing business. Still, we are committed to providing you the best possible care at the lowest cost. We hope this explanation of our fees has been helpful. With you, our patient, we look forward to a lasting and healthy relationship.

Insurance Accepted:

Aetna / PPOM

**Ameriplan Health – Medical Plans of America PT PAYS TOS

Anthem: All plans except Senior Advantage

BCE Emergis / Multiplan PHA
Beech Street PHA
Buckeye Preferred Network/Ohio Preferred Network PHA
Business Administrators and Consultants/BAC - PHA
Capp Care: Merged with Beech Street

Champus/Tricare
Choice Care/Humana - Have patient verify their plan
Cigna Healthplan of Ohio
Cofinity/PPOM/Aetna
Creative Health Plans- Merged with NPPN
Direct Care America / Primary Health Services PHA
Emerald Health Network- PHA
Ethix Midlands - Formerly Comed Management
Fortified Provider Network
Good Samaritan Super PHO - PHPPN
Healthfirst
HealthLink / Anthem
Health Network / Multiplan PHA
Health Service Preferred
Healthspan - PHA (NPPN thru TPA, medical benefits,
American Medical Securities, Cent Bene
Healthstar/ppoNEXT - PHA
Humana
Integrated Health Plan PHA
Medicaid - State of Ohio
Medical Mutual of Ohio
Medicare
Metrahealth
Miami Valley Hospital Super PHO - PHPPN
Multiplan / PHCS PHA
National Provider Network (NPN) - PHA
National Preferred Provider Network – No contract (NPPN)
Ohio Bureau of Workers Compensation
Ohio Health Choice
Ohio Health Group
Ohio Preferred Network (OPN) - PHA
Path Health Network
PPOM/Aetna/Cofinity
PpoNEXT/Healthstar – PHA
Preferred Care
Preferred Patient Plan Network
Premier Health Partners Provider Network (PHPPN) Super PHO
Primary Hlt Services/Direct Care PHA
Private Healthcare Systems (PHCS)/Multiplan
ProAmerica/ Multiplan PHA
Three Rivers Provider Network - PHA
Tricare/Champus
United Health Care
Up & Up / Multiplan PHA
USA Managed Care Organization PHA

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