Patient Information

Patient Forms

 


Billing information

For your convenience, our billing department can be reached at (440) 779-1107 or (800) 772-4734. If no one is available to assist you at the time of your call, please leave a message and we will be happy to return your call.

Charges & Fees – Charges for services provided are subject to change without notice. Each patient’s insurance coverage and financial situation is different. If a patient has a concern regarding what our charge for a service is, it is the patient’s responsibility to ask prior to the service being performed. Please understand that on some services, such as office visits, we may only be able to provide an estimate.

Charges Billed – The parent or legal guardian that presents with the minor for care and authorizes treatment will be the one who receives the bill for services provided and is responsible to see that the balance is paid.

Billing Questions – Any questions regarding billing must be directed to the billing department. Please do not ask other staff members (ex. front desk staff, nurses, physicians, etc.) questions regarding the billing of your services. Information provided from sources outside of the billing department is not applicable.

Balance Due – If you are experiencing financial difficulties, we will work with you on a payment plan. If the balance remains unpaid, your account may be referred to a collection agency. You will be responsible for any collection costs which are incurred. If your account is at a collection status, we will need the balance paid in full prior to any future visit.

Separate Entities, Separate Bills – If your service requires the services of other entities, you will receive a bill from each provider of the service separately. For example, during outpatient surgery you will receive a bill from our office for our physician performing the surgery. You will also receive a bill from the facility where the services were performed and from pathology and anesthesia, if applicable.

This also applies to services performed within our office, for example a biopsy or fine needle aspiration. You will need to communicate with each individual company regarding their individual charges.


Make to payment

For your convenience, our billing department can be reached at (440) 779-1107. If no one is available to assist you at the time of your call, please leave a message and we will be happy to return your call.

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Charges and Fees - Charges for services provided are subject to change without notice. Each patient's insurance coverage and financial situation is different. If a patient has a concern regarding what our charge for a service is, it is the patients responsibility to ask prior to the service being performed. Please understand that on some services (such as office visits) we may only be able to provide an estimate.

Charges Billed - The parent or legal guardian that presents with the minor for care and authorizes treatment will be the one who receives the bill for services provided and is responsible to see that the balance is paid.

Billing Questions - Any questions regarding billing must be directed to the billing department. Please do not ask other staff members (ex. front desk staff, nurses, physicians etc.) regarding the billing of your services. Information provided from sources outside the billing department is not applicable.

Balance Due - If you are experiencing financial difficulties we will work with you on a payment plan. If the balance remains unpaid your account may be referred to a collection agency. You will be responsible for collection costs which are incurred. If your account is at a collection status we will need the balance paid in full prior to any future visit.


Schedule an Appointment

Patients are seen on an appointment basis. When calling for an appointment, inform the receptionist the reason for your visit. Please have your current insurance policy information available. Some insurance companies require you to have a referral from a primary care physician in order for your visit to be covered. Please be aware of your insurance companies restrictions. You will need to bring your insurance card and co-pay with you at the time of your visit as well as a list of medications that you currently use.

Minor Patients - It is strongly recommended that the minor's responsible party accompany them in to the office. If this is not possible the adult accompanying the minor is responsible for seeing that our policies are met.

Missed Appointments - We understand that occasionally a patient may run into a situation where they can not make their appointment. We ask that you call to cancel your appointment at least 24 hours in advance, which allows us the ability to use that time for another patient. The first time a patient does not show up for an appointment, we will let you know with a courtesy call or letter. If there are subsequent missed appointments, you may lose your ability to schedule future appointments with us.

Child Custody - The parent or legal guardian that presents the minor for care and authorizes treatment will be the one who receives the bill for services provided and is responsible to see that the balance is paid.

Co-Pays - Any co-payments required by your insurance company are due at the time of service. We are required by the insurance companies to collect co-pays at the time of the visit. We advise patients of this at the time the appointment is made and when confirming the appointment. We may need to reschedule your appointment if you do not have the co-pay at the time of your visit.