Patient Resources //
On this and the following pages you will find insurance information, answers to common billing questions, diagnosis handouts and practice handouts from the drop down patient resources menu.
Question about your bill //
What billing or insurance information will I receive?
You will be mailed a statement monthly for balances on your account, but also may contact us by email on the last page of this website directly to our billiing department. Our dedicated staff works hard to keep your insurance information up to date in our software system, but still relies upon you, our patient, to provide us with the most updated and accurate insurance and demographic information so that we can help you get the most out of your insurance benefits that you have worked hard to earn.
How long will it take to get things settled with the insurance company?
Every insurance company is different, and secondary insurance companies do not start processing until the primary company is complete. The typical cycle is 21- 45 days with some delays that can occur due to inaccurate patient demographic information, unrealized changes in benefit plans, and forms required on the patients' part to clarify the circumstances leading to their billed diagnosis.
Why am I getting bills from physicians?
The bills from the physicians are for services rendered. Often patients will have deductibles that have to be applied before their insurance benefits begin. Also, there may be co-pays for visits, x-rays, therapy and splinting that are not completely covered by the patient's insurance benefits or not by there secondary insurance plan. If you have questions about any bill please contact us by phone and/or email to get a timely answer.
I received a notice that my insurance company has paid on my bill - but I can't understand how they calculated their payment amount. Do you know?
We often are aware of how they calculated the payment, but similar to the patient, and the rapid changes in healthcare benefits, sometimes the calculations require a further audit for clarification. We will be happy to assist you in understanding your insurance statement, and you may bring it on a day when your surgeon is typically in the operating room (and therefore not during a busy clinic), to have our staff's undivided attention to answer your question.
Are there costs for surgery beyond the surgeon's fees, and what about out of network benefits?
Often, depending on deductibles and copays, there will be additional costs beyond your surgeon's fees for the facility, anesthesiologist, pathology and post-operative hand therapy. It is important our patients do their part in understanding all their insurance benefits. Since deductibles and co-pays are integral part of their insurance plans, these fees cannot be waived. We do offer surgery to patients with out of network benefits, and can discuss how this option may be reasonable for your personal needs.
Health plans //
Most National, Regional, Local non-HMO/Self-insured plans, PPO, Medicare, Medicaid and Worker's Compensation plans
Blue Cross / Blue Shield
Clark County Self Funded
Sierra and HPN Non-HMO plans
Teacher's Health Trust
Please still call to check if your plan is not on our incomplete list above
Please ask us about our out of network policies and how we may be able to still evaluate you if we are not in your insurance network plan.