FINANCIAL POLICY

Insurance Billing

Our clinic submits claims for all types of insurance as a courtesy to our patients. Current insurance cards must be presented at each visit. If your insurance coverage cannot be verified, we require payment in full on the day of your appointment.

Copayments

All office co-payments must be paid at the time of service, or the appointment will need to be rescheduled.

No Insurance

Patients who have no verifiable insurance coverage will be asked to pay the entire bill at the time of service.

Photo ID

The Federal Trade Commission’s Red Flag Rules require that our clinic ask that a photo ID and insurancecard be presented at each visit, even if you have been seen in the last 30 days.

Hearing Testing

Our physician may recommend hearing testing based on your symptoms. Some insurance companies apply an additional copay to these services. Please contact your insurance company if you have questions regarding their determination.

Out of State Medical Assistance

We accept Minnesota Medicaid. We do not accept other out of state medical assistance unless prior arrangements have been made.

MN Department of Health

The MN Department of Health requires Ear, Nose & Throat SpecialtyCare to collect Race/Ethnicity/Language and insurance data, as well as a “Patient Experience of Care” survey.

Workers’ Compensation

We submit all workers’ compensation claims, provided we have the claim ID number; the name, address, and phone number of the carrier; employer information and the date of injury. You will be requested to provide your health insurance also, please bring your insurance card.

Accident Claim (including auto and liability)

We will submit accident claims to the appropriate insurance carrier upon receipt of the insurance information. The date of injury or illness is required. If this information is not available at the time of your appointment, payment must be made at the time of service. You will be requested to provide your health insurance also, please bring your insurance card.

Referrals and Prior Authorizations

It is the patient’s responsibility to obtain any and all authorizations required by their insurance plan prior to being seen, each and every visit, at our clinic. The authorization must be written and must specify the number of visits and the type of treatment that we are allowed to render.

Information Regarding Commonly Performed ENT Procedures (PLEASE READ)

As a part of your examination, your specialist may order an in-office ENT procedure. This may include Fiber optic examinations of the Nose, Sinuses, and Larynx/Vocal Cords. If such a procedure is performed a procedural fee will be submitted to your insurance carrier. You should know that your insurance carrier may refer to these routine parts of your specialist’s consultations as procedures or even surgical procedures. If our office participates with your insurance carrier you will only be obligated to pay for any deductible, coinsurance, and/or copays as agreed upon by you and your carrier. Please know that the performance of these procedures allow your specialist to give you the most accurate and best care available.

Questions regarding these billing and insurance guidelines should be directed to our business office.

Our staff is available and may be reached:
Monday through Friday
9 a.m. to 5 p.m.
Business Office: (612) 871-2410

 

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