New Patient Visits
Our office sees primarily three types of patients:
- Those that have been told by another doctor that they need surgery.
- Those that have had surgery and are still in serious pain.
- Those that have been disabled and unable to work for at least 6 weeks.
At the time of the initial examination it is required that any previous diagnostic tests performed including x-ray films, MRI films, CT scan films, etc. are brought to the appointment for the doctor's review. If these tests are not brought to the appointment it may be necessary to reschedule the appointment.
Insurance & Health Plans
For your convenience, we will bill your insurance company and collect payment. Any portion of the fee not covered by your insurance company will be billed to you. You will receive monthly bills including the amount billed to your insurance company, until the balance is paid.
Arrangements regarding your insurance plan and benefits to which your are entitled are between you and your insurance carrier. Full payment of your bill is your responsibility.
Medicare
Our office is a participating provider with Medicare. We will bill you for your deductible and co-payments after Medicare pays. Please bring your card for Medicare and any supplemental policies.
Disability Forms
We will fill out your disability forms. In order to research the required information and complete the form, we require a $15 processing fee and five business days.
Payment for Service
If you are uninsured or do not provide evidence of insurance, please be prepared to pay at the time of service. If insured, you will be required to pay any deductible or co-payment at the time of service.
Workers' Compensation
If your injury is work related it is necessary that your have full Worker's Compensation claim information and prior authorization from the insurance carrier before your office visit. We will need your:
- Claim number.
- Carrier name and address.
- Date of accident.
- Employer information.
Please have this information available when you call to set up an initial consultation.
Listed below are PPO/HMO health plans we are contracted with:
- Aetna
- Beech Street PPO
- Beech Street Auto
- Beech Street Workers Compensation Program
- Beech Street/Aetna Fed Med
- Blue Cross of California
- Blue Shield
- Choice Care PPO
- Cigna
- CNN Network
- First Health Network
- HMN PPO
- Interplan Health Group
- Molina
- Multiplan PPO
- Multiplan/Admar PPO
- Multiplan/AHC PPO
- Multiplan/BCE Emergis PPO
- Multiplan/BPS Healthcare PPO
- Muliplan/Formost PPO
- Multiplan/Health Network PPO
- Multiplan/MedNetwork PPO
- Multiplan/Pro-America PPO
- Multiplan/United Payors & United Providers (Up & Up) PPO
- Partnership Health Plan
- Three Rivers PPO
- Three Rivers Workers Compensation Program
- TriWest PC3/VCP
- USA MCO PPO
- USA MCO Workers Compensation Program
- United Health Care
- USA Managed Care Organization
List of HMOs we are Contracted with thru Sutter Regional Medical Foundation, Inc.:
- Aetna
- Blue Cross Blue Shield
- Healthnet
- Healthnet Seniority Plus
- Healthnet Seniority Plus
List of Workers Compensation MPNs:
- Aarla
- Aarp
- Aetna
- Aig
- Aigcs
- Aigcs Ppo
- Beech Street
- Berkshire Hathaway
- Blue Cross
- (Blue Cross Blue Shield)
- Blueshield
- Broadspire
- California Healthcare Networks, Inc
- Cambridge Integrated Svcs.
- Century Insurance
- Ciga
- Corvel
- Employers Direct
- Fireman's
- Focus Healthcare/Concentra Network Services
- Gallagher Basset
- Health Net Ppo
- Intercare
- Liberty Mutual
- Octagon Risk Services
- Pacificare
- Republic Indemnity
- Sedgwick
- Sentry
- Travelers Insurance
- Tristar Managed Care
- Us Dept. Of Labor
- (Zenith Ins)
- Zurich Services Corp
Complete and Compassionate Care of the Spine.
BaySpine Medical Associates. All Rights Reserved.
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