Thank you for choosing our practice. We are committed to providing you with quality and affordable epileptological- related and other neurological related healthcare. Below is information to answer frequently asked questions regarding patient and insurance responsibility for serviced rendered. Please read it and ask us any questions that you may have. A copy will be provided to you upon request. Thanks, so much for being our patient.
Co-payments, Co-insurance, and deductible payments are due at the time of service unless payment arrangements have been requested and approved in advanced. You are expected to pay according to the arrangement.
Insurance– We participate with most insurance plans except in the NJ Medicaid program (with Medicaid insurance being the primary insurance). We will bill your insurance company as a courtesy to you. Although we may estimate what your insurance company may pay, it is the insurance company that makes the final determination of your eligibility. Claims Submission- We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays for your claim. Your insurance benefit is a contract between you and your insurance company.
Referrals– If you have an insurance plan with which we contracted and you need a referral authorization from your primary care physician/ pediatrician to be seen by NCES, it is your reasonability to have the referral sent to us via fax, mail or provided to us directly via documentation from the referring provider at the time of service. If we have not received a referral prior to your arrival at the office, it will be your responsibility to call your primary care physician or pediatrician to obtain it. If you are unable to obtain the referral at that time, you will be rescheduled to another time after the referral documentation has been received.
All Co-payments, Deductible, and Co- Insurance must be paid at the time of service. This arrangement is part of your contract with your insurance company.
Proof of Insurance– All patients must complete our patient information form before seeing our providers. We must obtain a copy of your driver’s license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim.
Coverage Changes– If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.
Methods of Payment– We accept payments by cash, check, CareCredit, debit card, via MasterCard, American Express, and Discover.
Patient Statements– If you have an unpaid balance you will receive a statement by mail every 30 days. If the statement amount is due upon receipt of the statement, it is your responsibility to pay the full amount or arrange an agreement with NCES, at NCES’s discretion for reasonable payment plan. If an arrangement is not made with NCES in advance, before the 90 day past due date, any balances over 90 days will be turned over to an attorney for filing collection in NJ small claims court or to an agency for collections. All payments made go to the oldest outstanding balance(s).
No show Fee– Please cancel/ reschedule your visits with 24-hour notice. If you do not call to cancel an appointment within 24 Hours, there will be a “No Show Fee” charged to your account: $25.00 (follow up appointments) $50.00 (Routine EEG’s) $100.00 (Ambulatory EEG’s) $250.00 (In office Video EEG’S).
Collection Fees– Balances that have not had payment made within 90 days will be turned over to small claims court or collections. Guarantor will be responsible to pay all costs of collections including reasonable interest, reasonable attorney’s fees and reasonable collection agency fees not to exceed 33 1/3%.