THIRD PARTY PARTICIPATION AGREEMENTS
Charleston Internal Medicine, Inc. (CIM) has written participation agreements with many of the larger carriers in our area. When scheduling an appointment, or coming to our office, please verify that we participate with your health plan so you can receive the maximum financial benefit offered by your plan. If your insurance coverage is based on a co-payment, you will be expected to pay the co-pay at the time of service as well as any outstanding patient balance due. The patient due balance will be the amount your insurance has told us is the responsibility of the patient after they have processed the claim.
Our fees are determined by analyzing charge information provided in publications at both the national and regional levels. The provider determines the level of service that is rendered and subsequently billed. Services and their associated fees vary depending upon the type of service, the level of care, length of visit, and the complexity of encounter. Factors such as the number of body organs involved in your condition and the process involved in coordinating your care with other providers is also a part of determining the total level of care that will be billed.
CIM will bill any insurance we have on file for your account. We will allow them a period of 60 days to remit payment. If we do not hear from the insurance by that time, we will look to the patient to remit payment for services received. You have a financial agreement/relationship with your carrier for the processing and payment of your claims. CIM is not part of that agreement. You are encouraged to communicate with your insurance if you feel your services are not properly processed for payment.