OUR FINANCIAL POLICY: Nathan W. Patterson, MD is very concerned about the cost of your healthcare and has spent considerable time in setting our fees. We want to assure our charges accurately reflect the skill, expertise, and complexity of care required for your case.
INSURANCE USUAL AND CUSTOMARY: If an insurance company indicates that our fees are above the “usual and customary,” please understand that most doctors’ fees are above the rate which insurance companies choose to pay. We use many sources to determine that our fees are appropriate. We do not adjust our fees in all cases to match insurance based fee schedules.
OUR POLICY: Our policy requires payment of co-payments and any deductibles at the time of service. If there is any balance owed after all insurance companies have made their payments, we will bill you for the remaining amount.
HMO AND PPO MEMBERS: If you are a member of an HMO or PPO in which we participate, your deductible or co-payment is required at the time of service. You are also responsible to see that we have a current referral or authorization on hand if your insurance requires one. If we do not have this referral or authorization at the time of the visit, your insurance company may hold you responsible for all the charges. You may also be sent back to your primary care physician prior to being treated to obtain a current referral.
Our agreement is with YOU and NOT your insurance company. You have chosen your insurance coverage. Although we will assist you in submitting your claim to your carrier you are ultimately responsible for the services you receive. Payment to our office is not contingent or dependent on your insurance carrier.
As a courtesy, we accept Visa, MasterCard, American Express, cash, and check for your charges.
Returned checks will receive a $35.00 overdraft charge. A 50% rescheduling fee will be applied to any surgery/procedure cancelled 2 business days or less prior to the scheduled date. Refer to our surgical rescheduling policy for specific information. Laser, sublative, and sublime packages are non-refundable.
We require 24 hours advance notice to avoid a $25 appointment rescheduling fee. Please contact our office to make payment arrangements at (850) 934-3756.
All outstanding balances 30 days old are subject to a $10.00 late fee every month until the balance is paid in full. A collection agency may take over delinquent accounts. If your account is placed with a collection agency, you will be responsible for all costs of collection. Timely payment will prevent consequences to your credit rating.
If you have any questions about our financial policy or your insurance reimbursement, please feel free to discuss them with our staff.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND ABOUT HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
The policy of Nathan W. Patterson, MD, PL is to protect the confidentiality, integrity and security of the protected health and personal information of our patients and to prevent unauthorized access to, or the use or disclosure of such information. We are required by law to maintain the privacy of your health information and provide you with this notice of our duties and obligations. This policy applies to patients who are current or former patients of Nathan W. Patterson, MD, PL.
Individually identifiable health and personal information are any information obtained by Nathan W. Patterson, MD, PL in connection with providing healthcare treatment, obtaining payment and related health care operations. This relates to past, present or future information that Nathan W. Patterson, MD, PL receives from you as our patient.
Nathan W. Patterson, MD, PL collects personal information in order to learn about your medical history, medical conditions, render treatment, and collect payment for our services. We gather this information from your patient forms, health questionnaires and other forms you will be asked to complete from time-to-time. In addition, we will assemble information based on our discussions and conversations with you, your personal representative and your family members.
Your healthcare plan or insurance carrier may provide information to our office. We will use this information to provide caring and quality medical care to you. Examples include diagnosis, treatment and communications such as follow up and appointment reminders, as well as treatment alternatives or other health-related benefits. As part of our standard treatment and healthcare operations, we may share information with a facility such as a hospital, laboratory, diagnostic service or healthcare provider to efficiently coordinate your treatment plan. For contracted insurers, your information will be used for claims management and to obtain payment from your insurance carrier. As required by your insurance contractor, we will exchange paper and electronic data with your insurance carrier for activities such as eligibility, benefit and coverage determinations, precertification, utilization review and related activities.
For worker’s compensation, information about a work-related condition can be exchanged with the employer and case manager/adjustor of the employer’s insurer.
Your information is maintained in our office in our practice management computer system. We also maintain information about you in your medical chart. Nathan W. Patterson, MD, PL limits access to your protected health information to those employees and business associates who need to know the information. With some limitations, you have the right to inspect, amend, copy and receive an accounting of disclosures of your medical and billing records. We can offer you a summary of your visit. If you would like a summary, please request it at checkout.
We do not disclose personal information to third parties unless one of the following exceptions applies:
- We receive explicit authorization from you to release individually identifiable information. This authorization must be in writing and give exact details regarding to whom the disclosure applies, the nature of the data to be released, the applicable dates and signed by the patient (or guardian). You may revoke this authorization by providing a written statement to the Nathan W. Patterson, MD, PL Privacy Officer.
- Federal, state or other applicable law requires us to share protected information or records.
We are obligated to abide by the terms of this notice. If, at any time in the future, it is necessary to disclose any of your personal information in a way that is materially different from this policy,
Nathan W. Patterson, MD, PL will give you notice of the change through a mailed announcement or on your visit following the change.
With some exceptions, you have right to review and obtain a copy of your health information.
This request must be in writing and there may be a reasonable charge to provide you with a copy of your information. You also have the right to request your records be amended, to request special accommodations and restrictions of your health information and to receive an accounting of the disclosures of your information. You have the right to request to receive confidential communications of your information. Nathan W. Patterson, MD, PL is not obligated to agree to a requested restriction. We must receive a written request from you to administer these rights.
Please speak to the receptionist for further information or to begin the process to exercise any of these rights.
If you have a complaint about the management of your health information or believe your privacy rights have been violated, contact our office at (850)934-3756. You have the right to file a complaint with the Secretary of the Department of Health and Human Services if you believe that your privacy rights have been violated. There will be no retaliation for filing a complaint.
Other uses of PHI:
- Your medical information may be reviewed by our medical staff for possible inclusion and referral in research studies. You will be contacted prior the use of your information in a research study.
- We may leave a message on your answering machine or voice mail to contact you about appointments or to have you call our office.
- Our practice participates with Blue Cross and Blue Shield of Alabama InfoSolutions and we will provide protected health information about you to this database if they manage your claim benefits.