University Otolaryngology’s goal is to provide our patients with the finest quality medical care. In order to do this, we need our patients to be aware of our office policies and information needed to provide this care.
Forms: Please print down and complete ALL the forms contained in the “Patient Forms” section. By completing all the forms in advance, this will expedite your check-in process.
Identification: In order to protect your identity and verify insurance information, we require you to bring your medical insurance card and a license or photo ID to every visit.
Cancellation Policy: University Otolaryngology is a specialty practice. In order to minimize the wait to see one of our physicians, we try to fill all cancelled appointment slots. To do this, we require at least 24 hours’ notice in the event you will not be able to make your scheduled appointment. In the event of a no-show or an appointment cancelled with less than 24 hours’ notice, we reserve the right to bill the patient a $50 charge.
Co-Payments: Are due at the time of the office visit. We do not bill for co-payments.
Medical Record Requests: We will gladly comply with requests for medical records. Once the proper authorization is made, our office staff will make a copy of your chart. There are minimal fees associated with this request.
Deductibles, Co-Insurance & Uncovered Services: There are many different types of health insurance policies. Most policies have deductibles, co-insurances and/or uncovered services. We may be unaware of your specific benefits at the time of service. If you have any questions concerning your coverage, please contact your health insurance plan directly. If additional charges are due from the services that were provided, a billing statement will be sent outlining any amounts due.
Balances Due: When monthly bills are sent, payment is expected upon receipt. Any unpaid balance over 90 days will be placed in “Collection”. Any account placed in collection will be responsible for the original charges, any collection fees, and attorney fees, if applicable.
Returned Checks: A $30 fee will be charged if a check is returned to our office.
Billing Questions & Disputes: Our billing staff will be able to offer an explanation and assistance if questions arise about the services provided. However, we are unable to offer assistance if questions or disputes arise involving your health insurance coverage. Any questions or disputes concerning services covered, deductibles, co-insurance or uncovered services need to be addressed directly with your insurance provider.