Out-of-Network Billing
We are glad you asked about how out-of-network billing works. It can be a bit confusing and not everyone has seen an out-of-network doctor before so we’re always happy have the opportunity to discuss how things work and make sure we set expectations appropriately. Dr. Pace has chosen not to contract with all insurance carriers, and therefore we do not have a contract that obliges them to pay a given amount, pay in a specific timeframe, or respond in line with the standard practices in the industry. As we’re all too familiar with, insurance processing can be unpredictable, but we do want you to be aware that the process can take longer with out-of-network billing.
Additionally, because there is no guarantee of payment, we do ask that our patients make their payment up front. Our office policy is to collect a predetermined fee prior to surgery. As a courtesy to our patients, we do have a specialized billing department who is quite experienced with this process. If you have any questions, they are available to provide updates and assistance. As much as we love our team, please do keep in mind that we are at the mercy of the insurance companies, so ultimately they set the timeline and control the process. If we are reimbursed by your insurance company, we want you to be aware that bills from other providers or facilities remain separate from our surgical fees.