Financial Policy

This is a copy of the financial policy of Associates in Physical Medicine and Rehabilitation, P.C. (APM&R). If you have questions about this policy, please speak with a member of our billing or finance department.

  1. Payment for all services provided by our practice is due at the time services are rendered. Exclusions to this policy are those patients who are a member of a health care organization that we have a participating agreement with, Medicare, Blue Cross Blue Shield of Michigan, Priority Health and others. Please ask our office staff if you are unsure if we participate with your health plan. We will bill your primary insurance plan for which we have an agreement, and will only require you to pay the authorized co-payment, deductible or non-covered services at the time of service. If APM&R does not participate with your health plan, payment in full will be due at the time service is rendered. We will provide you with a receipt that you can submit to your insurance company for reimbursement. We will also submit the claim form for you as a courtesy.
    • Co-payments: Co-payments are due for each billable service (including virtual and telehealth services when applicable) and are required to be paid in full per the legal obligations of APM&R and contractual agreements of our in-network insurance carriers. Refusal or failure to pay at the time of service will result in a $15.00 administrative fee added to your next billing statement for additional time and staffing required to process the claim.
    • Deductibles: Payment for all services provided by our practice is due at the time services are rendered. We will require $200.00 for EMG testing; $80.00 for new patient and $60.00 for established patient. The fee is due for those patients whom have not met their annual deductible and required for each subsequent visit until the deductible is met in-full for the policy year. If you have any questions about this policy, please speak with a member of our billing or financial department.
    • Once deductibles have been met then copays are due and expected to be paid at the time of service. The staff of APM&R determines accurate eligibility and benefits as well as patient responsibility of deductible and co- insurance if any, for each patient prior to arrival. Refusal or failure to pay at the time of service will result in a $15.00 administrative fee added to your next billing statement for additional time and staffing required to process the claim.
  2. Medicare patients are responsible for their co-payments and deductibles as well as any services deemed medically unnecessary by Medicare. In the event your health plan determines services are not covered; you will be responsible for the complete charge.
  3. If you are unable to pay for the visit at the time of the service, please call our office prior to the appointment to arrange a payment plan.
  4. Patients will receive one statement itemizing the services rendered and any unpaid patient balances. Balances are due upon receipt.
  5. For services rendered to minors, we will look to the adult accompanying the patient for payment.
    • APM&R holds the guarantor on file financially responsible for any balance owed to the practice. Legal or court ordered disputes of ownership and or patient responsibility will not be the determined by the practice.
  6. APM&R accepts cash, personal checks, money orders, Travelers Checks, MasterCard, Visa, American Express and Discover.
  7. A $30.00 fee will be assessed to the account for every check returned to APM&R for insufficient funds.
  8. APM&R reserves the right to turn any patient over to collections if it is deemed that the account has been in default of the payment obligations or compliance of this policy. It is understood and agreed that APM&R shall recover all costs and expenses incurred in the collection of any such delinquent amounts.
  1. There will be a variable fee of $10.00 to $50.00 dependent upon time incurred and complexity of the request for the completion of every form we are asked to complete by the patient, insurance companies, etc.
  2. Due to the increased demands for provider time, APM&R may find it necessary to institute charges for patients who do not cancel their prescheduled appointment at least 24 hours in advance. You may be charged $45.00 if you are a new patient and $25.00 if you are an established patient and fail to cancel 24 hours in advance.
  3. Signature of this document constitutes as written, verbal, and express consent of all applicable services and associated charges originating from Associates in Physical Medicine & Rehabilitation, P.C.
  4. APM&R does not accept automobile liability, or workers compensation claims without (1.) an approved claim number and (2.) formal verification from the liability holder. Additionally, (3.) APM&R does not accept auto liability or workers compensation claims in a litigation status. (4.) Secondary insurance information is required to be kept on file and will not be billed unless the automobile or workers compensation claim is denied. APM&R reserves the right to deny appointment scheduling without complete insurance information.

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