FINANCIAL POLICY

We are committed to providing you with the best possible care. Your fee for service includes your visit with the doctor based on the time and complexity of your condition and any treatment provided. In addition, proper attention to your case requires that the doctor spend more time working for you outside your direct visit with her. Such time may include:

  • Correspondence of reports and follow-up visit letters and laboratory/scan results to referring doctors
  • Insurance preauthorization, Letters of Medical Necessity: Medical/Dental
  • Insurance reports and supportive documentation required for payment
  • Laboratory test results evaluation
  • Letters and forms: jury duty, school, job, and sick leave, back to work, communicable diseases, etc.
  • Patient educational materials and medication samples when available
  • Pharmacy calls
  • Phone calls to and from you and your family members concerning your care
  • Phone consultation with referring or consulting practitioner and other health care providers about your case
  • Radiographic analyses
  • Record creation and maintenance
  • Referral letters to any further specialists recommended by the doctor
  • Research done by the doctor about your case
  • Review and management of hospital records
  • Support staff regarding your visit
    • Self-pay Policy

      Payment for all copays, coinsurance, deductibles and non-covered services are expected at the time of service. Lynn Pierri, DDS, MS accepts cash, personal checks (New York State only), Visa, Master Card, Discover, Care Credit and American Express. You will be responsible for a service fee and any applicable bank fees for a returned check.

      We offer individualized payment plans as another courtesy to our patients. We realize financial difficulty is a reality; however, payments must be made in accordance with the payment plan. If paymentsare missed, the full amount will become due and payable.

      Insurance - plans in which Lynn Pierri DDS MS is a participatingprovider

      We will bill participating insurance companies as a courtesy to you. Please provide all insurance carrierinformation to our office at the time of your visit. This includes primary, secondary carriers, as well as medical carriersand dental benefit providers.

      Each carrier on file will be billed. Please keep in mind this may result in delayed billing statements to you. You will be responsible for any Copays, Co Insurance and Deductibles.

      Your insurancecontract(s) is an agreement between you and your insurance carrier; therefore, you are responsible for obtaining referrals and pre-certification confirmation. We will submit any clinical information required to assist in this process.

      If we have not received payment from your Insurance Carrier within 45 days of the date of service you may be expected to pay the balance in full. You are responsible to ensure all charges are paid by you or your insurance carrier.

      You are responsible for the financial obligation of your treatment. We will estimate your out of pocket expense to the best of our ability. We will pre-authorize your services if time allows prior to your appointment; however, pre-authorization is not a guarantee of payments or benefits.

      As with all medical insurance carriers and dental benefit providers; reimbursements cannot be guaranteed until the actual claims are returned by your medical insurance carriers or dental benefit providers.

      You will be responsible for any services that are not covered by your insurance plan(s). Please be aware you are ultimately responsible for providing our office with complete and accurate insurance information and for confirming your benefits before your treatment.

      Once a diagnosis and treatment plan has been established, we will help you obtain pre-authorization for your procedure. Every effort will be made to closely estimate your co-payment and deductible which are due at the time of service. The participating insurance payment will be accepted as payment-in-full only after all deductibles have been met and all co-payments have been paid by you.

      Some benefit plans require pre-authorization and specialist referral forms from your primary physician. Please provide the proper Insurance plan identification and forms necessary prior to your visit.

      Denial of Benefits

      We hope that the information provided will be helpful to you. Realizing the importance of health insurance to your well-being, we urge you to become familiar with your health insurance contract and utilize its benefits.

      In the event that you do not receive the benefits to which you believe you are entitled from your insurance carrier, we suggest that you contact your carrier and your employee benefits representative to request the appropriate professional review. If we can be of assistance to you in these endeavors, we will make every effort to do so.

      Surgery Fees

      Regardless of insurance, all financial arrangements are to be finalized prior to care being rendered to avoid any misunderstandings later.

      Non-Covered Charges

      All co-payments, deductibles and payments for non-covered surgical procedures are due prior to your surgery. Prior authorization may be required by your insurance carrier and is your responsibility, as insurance is a contract between you and your insurance company. Occasionally, unforeseen surgical procedures may be provided and are the responsibility of the patient/guardian.

      Follow-up Visits

      Global care is provided immediately after surgery and is a covered benefit. However, occasionally post-operative complications may ensue that require additional fees for which the patient is responsible. Periodic office visits with or without X-rays may be necessary months later to ensure a patient's wellbeing. These may or may not be covered under your insurance plan.

      Insurance - plans in which Lynn Pierri DDS MS is a non-participating provider)

      You will be responsible for payment up front. Your time of service receipt will include all information necessary for submitting claims to your insurance company.

      Patients with an outstanding balance 60 days or more overdue must make arrangements for payment prior to scheduling appointments. We reserve the right to impose a billing charge of 1.5 % for delinquent accounts over 60 days. If the account goes into default and is turned over to collection, the patient will be responsible for any additional charges incurred due to the collection agency or legal fees.

      Referrals & Preauthorizations

      It is your responsibility to know whether or not a referral/authorization is needed to be seen or treated in this office. If a referral/authorization is needed for your insurance carrier; it's your responsibility to make sure your primary care physician submits these documents to your insurance carrier. You also must bring a copy of the referral/authorization ID number to this office at the time of service. You will be responsible for allcharges if an official referral/authorization is not obtained by you from your primary care physician.

      Missed appointments/Late/Cancellations Fees

      Broken appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. Cancellations must be requested a full 24 hours prior to your appointment time. We reserve the right to charge $100 for missed or late cancelled appointments.

      Refunds

      Patient/guarantor credits in amounts less than $20.00 will be retained on account; to be credited toward future balances unless a written request for refund is received. Refund amounts greater than $20.00 will be refunded to patient /guarantor after confirmation of the amount due and reason for the refund.

      Anesthesia

      Our office utilizes the services of North American Partners in Anesthesia (NAPA), an outside anesthesia group. We are not affiliated with their billing department. Their fee will be collected at time of service if it is not a covered expense under your medical insurance policy. Anesthesia for this group can only be billed through your medical carrier. For non-covered procedures the fee for anesthesia is $150.00 for first 15 minutes, $100.00 for each additional 15 minutes. Please direct any questions about your anesthesia bill to their billing department at (516) 945-3029.

      Monthly Patient Statements

      A monthly statement is generated every month to the patient if there is a balance on the account. Please keep in mind the balance may not reflect any recent payments made on the account by you or your insurance carrier.

      Your amount may also reflect a balance still out to your insurance carrier. The balance is not necessarily your balance. However, it is a good idea to check in with the office billing department when you receive your bill to confirm the accuracy. We may try to contract with your Insurance Carriers, if possible, to assist you by reducing your out-of-pocket expenses.

      This comes at a price to us, such as reduced fees, delayed payment and extra staff to assist in collections. It is important that we work together as partners in the payment of your treatment. We will make every effort to make this process as smooth as possible for you.

      Financing Options

      Care Credit® because dental insurance doesn't cover it all.

      Whether or not you have dental insurance, many services are not covered. Care Credit® is a credit card exclusive for healthcare services. And, it's better because you get No Interest or low interest financing every time you use it. You can use your card over and over for follow-up appointments or different procedures. This means you don't have to put your health and beauty on hold until you save up enough money. We give you the power to decide when it's the right time for you.

      • Apply for CareCredit® in our office or online
      • Use CareCredit® every time you come to your health providers office
      • CareCredit® is accepted by over 90,000 providers
      • No interest for up to 18 months on qualifying purchases and no down payment required
      • Flexible payment options
      • Low monthly payments and no pre-payment penalties
      • View, manage and pay your health care account online

      Go towww.carecredit.comto apply or ask one of our staff members for assistance.

      Prosper Healthcare Lending is Here for You

      Prosper Healthcare Lending is the premier financing company in the healthcare industry. The healthcare financing industry has been flooded with high-interest credit cards that may help you pay for the treatment you need, but often end up causing more harm than good.

      We offer healthy, simple interest loans with no prepayment penalties, no retroactive interest, longer terms for lower monthly payments, and an inquiry process that will only take you minutes to complete. We truly "Make HealthCare Affordable."

      http://www.prosperhealthcare.com/patients/

      If you need assistance or have questions, please contact the Billing Coordinator between 9:00AM and 5:00PM, Monday through Friday.