Health Insurance, Fees and Payments
Your Health Insurance & DMOS Orthopaedic Centers
DMOS Orthopaedic Centers will file all claims to insurance companies within the continental United States on your behalf. To ensure accurate processing of services, we ask for your assistance in providing your most current and up-to-date insurance information to us. To help enable this, we do ask for you to present your insurance card at every visit.
Your medical insurance represents a contract between you and your insurance carrier. Depending on your individual benefits and coverage, the services being provided/provided may or may not be covered by your insurance carrier. Ultimately, you are responsible for final payment or settlement on any outstanding balances to DMOS Orthopaedic Centers. Patients are expected to pay past due amounts at the time of service.
- Patients are expected to pay a co-payment or co-insurance payment unless that patient is covered by multiple insurance companies.
- Patients are expected to pay for all non-covered services.
- Patients with insurance companies located outside of the continental United States are expected to pay in full at the time of service. DMOS will provide you with necessary documentation needed to file a claim with your health insurance company.
- For a list of insurance companies that we accept, please call our billing office at 515-537-2860.
Patients with no insurance are expected to pay in full at the time of service.
Patients with Medicare coverage are accepted at DMOS. Patients are required to be prepared to provide their Medicare card at each visit.
DMOS can schedule patients with Workers Compensation injuries once patients obtain a preauthorization from the employer or their Workers Compensation insurance carrier. Once authorized, Workers Compensation is billed to your employer or their Workers Compensation insurance carrier. Please be advised that if your employer denies the claim, you are responsible for the bill. DMOS may file your claim with your private insurance carrier if your Workers Compensation carrier supplies a written denial of the claim. All appointments and services require preauthorization by the employer or the employer’s insurance company.
Third Party Liability
As a service to you, DMOS will file claims for medical services rendered with both the liability carrier and your primary health insurance carrier. However, because of the laws regarding liability, charges for medical services rendered may not be paid in a timely manner. DMOS is unable to wait for resolution of the litigation to obtain payment on your account.
Payment in full is expected at the time of service for the initial office visit and for radiology services. Payment for surgical services are to be paid in full prior to surgery. If payment in full is not possible, a payment plan will be established prior to or at the time of your initial visit. A patient account representative will be available to assist you with any questions that you may have.
Completing Forms Prior to Your Visit
We attempt to complete your forms (FMLA, disability, work comp, etc) as quickly as possible. It is required that you complete your portion of the form before bringing it to DMOS. There will be a nominal charge for the doctors or staff to complete these forms. Payment for completion of forms is due when your forms are submitted to DMOS. We are happy to provide a receipt upon request. We may not have the ability to complete the form on the same day that you provide it to us. Please plan ahead accordingly to allow us a few days to complete and return the form to you.
Your Bill & DMOS Billing Department
If there is a patient balance due, you will receive a monthly statement to inform you of the current status of your account from DMOS. Payment is due in full upon receipt of your statement, unless other payment arrangements have been made with DMOS. If you have any questions regarding your billing, please contact the Business Office at 515-537-2860.
Other Facilities & Provider Fees
If you are having surgery, please know that you will receive separate billing for services from the Anesthesiologist and the facility where your procedure is performed. You are encouraged to contact those providers/facilities to identify their payment policy procedures.
Methods of Payment
For your convenience we accept cash, check, Discover, VISA and MasterCard.