Billing & Insurance FAQ

We want to take some of the confusion out of the medical billing process by answering some of your most frequent questions about insurance and payment.

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Do you take my insurance?

Summit Orthopedics works with many insurance plans. Whether or how your claim will be reimbursed is dependent on the details of your particular plan. Refer to your plan benefit manual, your insurer’s website, or call the number on the back of your insurance card for details about your specific benefits.

 

 What is a payer?

The payer is your insurance company. Most likely it is your health insurance provider, but depending on your situation it may also refer to a motor vehicle or worker’s compensation insurance policy.

 

Why did I get a bill?

When insurance companies pay Summit Orthopedics they typically indicate some amount of the total charge is owed by the patient in the form of copayment, co-insurance, and/ or deductible. Once Summit Orthopedics receives such an adjudication from an insurer we transfer the balance to the patient and send a statement.

 

 It says “transfer to patient” on my bill, what does that mean?

“Transfer to patient” is the amount that your insurer has indicated you owe for your copayment, co-insurance, and/ or deductible.  If you are concerned the amount is not correct we recommend you contact your insurance company by calling the number on the back of your insurance card. If you are still concerned please call us at 651-968-5050 and we will review the balances with you.

 

I sent a payment, why isn’t it reflected on my statement?

Thank you for sending your payment! It is possible the statement was generated on or near the same day of your payment and with processing time the two crossed in the mail. Please call us at 651-968-5050 to confirm your payment has been received and applied to your account.

 

When is my payment due?

Co-payments are due at the time of service and will be collected when you check in for your appointment.

Patients scheduled for surgical services or other procedures may be asked to make a deposit based on the estimated cost. If applicable you will be contacted by a Patient Financial Services representative by mail and/or telephone. Your assigned Patient Financial Services representative will work with you to arrive at a deposit amount that works within your budget.

For bills received in the mail please make your payment within 30 days. You can send it via mail using the enclosed envelope, make your payment online, or call us at 651-968-5050 to pay by telephone.

 

What forms of payment does Summit Orthopedics accept?

Payments can be made using check, money order, Visa, Mastercard, Discover, or American Express. Unfortunately we are not able to accept cash payments at any of our locations.

 

Do you offer a discount for prompt payment?

Unfortunately, Summit Orthopedics is not able to offer a prompt payment discount.

 

My balance is too large for me to pay at one time; can I set up a payment plan?

Yes! Summit Orthopedics will work with you to institute a payment plan free of interest or surcharges.

Click Here to be directed to our secure third party site and enter your payment plan request. You can also contact us via telephone or email to make these arrangements.

 

If your question is not answered here, we’re here to help.  Email us at customerservice@summitortho.com
or call (651) 968-5050 to speak with one of our team members.