Billing & Insurance Inquiries
Our business office staff will gladly assist you with any questions or concerns that you might have about your account. You may contact the business office Monday through Friday, 8:30 a.m. to 4:30 p.m.
Tabor Orthopedics participates in most insurance plans and networks, including those listed below. Prior to scheduling your appointment we request that you call your insurance company to confirm that we are participating providers of your plan. The following is a partial list of insurance plans and networks we participate in:
- Aetna PPO and HMO
- BHSG Network (Baptist Health Services Group)
- BlueCross BlueShield of Tennessee (Classic, Preferred, & Select Networks)
- BlueCross BlueShield Federal Plan
- Cigna Healthcare of Tennessee PPO and HMO
- First Health Network
- Health Choice Network (Methodist Hospital Affiliated)
- Health Now Network (St. Francis Hospital Affiliated)
- PHCS Network
- Medicare (we accept assignment)
- Signature Health Network
- United Healthcare of Tennessee
- Work Comp
We accept cash, credit cards (VISA, MasterCard, Discover, & American Express), check and money orders. Payments may be made at either of our offices, by telephone or mail to:
MSK Group, P.C.
P.O. Box 8888
Belfast, ME 04915-8888
Frequently Asked Questions
Q: Do you accept my insurance plan?
A: Since participation with insurance plans changes frequently, please refer to your insurance plan directory, website or call your insurance company to determine if we are “in network” or “out of network” with tour insurance.
Q: Do I need a referral to be seen by one of your physicians?
A: Many PPO’s, HMO’s and EPO’s require a referral from your primary care physician. Please check with your insurance plan if you are unsure.
Q: Whose responsibility is it to get my referral authorization?
A: It is the patient’s responsibility. As a courtesy we will try to assist you in obtaining referrals.
Q: Do you accept Medicare assignment from Medicare?
Q: As a patient, do I have any responsibilities when my insurance company does not process or is slow in processing claims?
A: If medical claims are not paid within 30 days from billing, it is the patient’s responsibility to help follow up with the insurance company.
Q: If my insurance company does not pay, am I liable for the bill?
Q: Will you bill my secondary insurance after my primary carrier has paid their portion?
A: Yes, as a courtesy we will bill the secondary insurance.
Q: Will I be seen by the doctor if I haven’t paid my co-pay?
A: No. Our policy requires payment of co-payments at the time of service.
Q: When is my deductible due?
A: Deductibles and co-payments are due at the time of service. We will bill your insurance company for the balance.
Q: How much do I have to pay up front when having surgery that is not covered by insurance or my coverage is being researched?
A: We require payment of the estimated patient responsible portion of the charges prior to surgery.
Q: Do you accept third party liability insurance (automobile or personal injury)?
A: No. These are set up as self pay accounts. As a courtesy we will bill your insurance, but require payment at the time of service.
Q: Do you accept payment arrangements?
A: Please contact our billing office for details.
Q: If the parents of a minor (child) patient are divorced, which parent is financially responsible for the child’s medical bills?
A: We consider the adult person who authorized the care to be the responsible party/guarantor.
Q: What forms of payment do you accept?
A: Cash, credit cards (VISA, MasterCard, Discover & American Express), check and money orders.
Q: Where can we make a payment?
A: Payments may be made at either of our offices, by telephone or mail payments to:
MSK Group, P.C.
PO Box 8888
Belfast, ME 04915-8888
Q: What do I have to send with my payment?
A: Include the name of the patient for whom the account is being paid, the patient account number and the remittance portion of the statement.