We provide the best possible care and service to you, and we want you to completely understand our financial policies.
1.) Payment is due at the time of service unless arrangements have been made in advance. We accept Cash, Check, Money Order, VISA, Master Card,American Express & Discovery.
2.) Keep in mind that your insurance policy is a contract between you and your insurance company. As a courtesy to you, we will verify your benefits. However, not all insurance plans cover certain services. Please note that all insurances give this insurance disclaimer: “A quote of benefits and/or coverage does not guarantee payment by your insurance company. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of your policy at the time of service.” Therefore, until we file the claim, we cannot guarantee what your policy will pay. If your insurance company denies the claim for non-covered service, the deductible has not been met, out of network with no coverage for out of network benefits, then we will look to you for payment. Any unpaid balances by insurance will be your responsibility. It is your responsibility to be familiar with your insurance company and your specific plan requirements.
As of Jan 2025, Mountain Sleep and Respiratory Medicine will required a Credit/Debit card to be placed on file for any services rendered in our office or facility this includes self pay,HRA/HSA/flex spending account , Insurance that has termed or insurance that cannot be verified prior to your services, and insurance that you have provided that may or may not cover services being rendered as stated above. Refusal to provide this will result in a denial of the provision of services.
Payment Plans are made up to 3 months if balance is or becomes over $600.00. Ask at the front desk or call our billing department for details.
Keep in mind payment is always due at the time of service for all services rendered ,however if your insurance comes back with a different amount due or a non cover service, this will be billed to you and if no payment is received then your card on file will be charged. If no payment is received or your card is declined then we will expect payment immetiately. Failure in payment can result in denial of further services or collections.
In-lab Sleep studies:
We understand that this amount is not known until your consultation appointment and can sometimes be expensive with different insurance or paying self-pay, in these cases we will allow payment up to 4:00 pm the day before your sleep study appointment. If payment is not received for the inlab sleep study, your sleep study could be canceled due to failure of payment. If we cannot reach you, we will let the front desk know we have canceled your study and for you to contact us at the opening of business the next day.
Your credit card/debit card details and other billing information are stored in compliance with the highest safety and security standards. We follow these regulations to help protect the personal data of our patients.
3.). We have made prior arrangements with many insurance companies and other health plans to accept an Assignment of Benefits. As a courtesy, we will file your insurance claim per the Assignment of Benefits, which means your insurance company will make payment directly to Mountain Sleep. If your insurance does not pay the practice within a reasonable period of time (within 90 days), we will look to you for payment.
4.) If you have insurance coverage with a plan with whom we do not have a prior agreement, charges for your care are due at the time of the service.
5.) For all services provided we will bill your insurance and you are responsible for any balance due. The estimated amount will be provided
at your appointment, and this will be due prior to services rendered but is only a estimation not a guarantee ,we will not know final
responsible till after we filed your claim and your insurance has responded to the claim.
6.) Cancellation Policy – We require at least a 24-hour notice for cancellations. This goes for new patient consultations, follow ups, and sleep studies. Failure to notify us of your cancellation or if you no show, could result in a $50 fee for consultations, follow-ups, and home sleep study pickups, and a $150 fee for inlab sleep studies. You will be unable to make another appointment until the fee is satisfied.
In special circumstances on case by case basis, your fee may be waived, please call the office to discuss. Failure to notify us of your cancellation with 24-hour notice 3 times or no show 3 times will result in dismissal from the practice.
Keep in mind your insurance will not pay for any fees associated with no show or 24 hour cancelation policy that will be a self pay responsible.