Our professional fees are well within the range of usual and customary charges for our specialty and region. We request and expect full payment at the time of service. All patients, including those covered under insurance plans in which we participate, are required to pay their co-payments, and deductibles at the time of service.

Medicare
Our physicians and nurse practitioners are enrolled in Medicare Part-B as participating providers. As of January 1, 2004, each of our providers will accept assignment on Medicare claims.

Periodically, we ask our Medicare patients for their insurance card(s), so that we may verify and document your Medicare information and any current secondary insurance coverage. On all covered charges, Medicare will normally pay 80% of the participating provider's fee schedule (100% for approved laboratory charges). We will bill the remaining 20% of the charges to your secondary insurance. If a patient does not have secondary coverage, they will be responsible for payment of this 20%, at the time of service. Also, if Medicare determines that a claim is for a non-covered service or the beneficiary has exceeded their annual benefit for a specific service, such as an EKG, the patient will be expected to provide payment for this service (with a properly executed Medicare Waiver form on file with our office).

All Medicare patients are subject to an annual deductible for physician services, which must be paid at the time of service. We will submit all patient charges directly to Medicare and your secondary carrier from our billing office.

Medicare patients/beneficiaries can contact Cahaba Government Benefit Administrators, which is the Medicare Part B Carrier for the State of Georgia, for assistance with claims processing and reimbursement issues. Cahaba GBA is a division of Blue Cross and Blue Shield of Alabama.
Cahaba GBA Contact Information: Toll-free Customer Service Line from 9:00 a.m. to 4:00 p.m. EST, Monday through Friday: 1-800-727-0827
Offices: 12052 Middleground Road Suite A, Savannah, Georgia 31419.
Mailing address: Cahaba Government Benefit Administrators; P.O. Box 3018; Savannah, GA 31402-3018

Other Insurance Plans
Our physicians participate in other insurance plans, and many of these plans are administered through the Promina Managed Care Organization. We are members of this organization through the Dekalb Physician Hospital Organization.

We will bill your charges directly to any plan in which we participate. You will be expected to pay us directly, for any co-payment, deductible or charges which your plan determines to be the patient's responsibility. If you are not sure whether our physicians participate with your insurance plan, please ask one of our staff members. They will be happy to answer your questions.

CONYERS OFFICE
1380 Milstead Avenue,
Suite H
Conyers, GA 30012
770-388-0118 Phone
770-388-9441 FAX