Billing & Insurance

In general, fees charged in this office are reasonable and customary and are comparable with those charged in other orthopaedic practices in our region.

As a courtesy, we do submit insurance claims for our patients. It is important that you have your correct insurance information at the time of your appointment and to notify our staff if your insurance coverage changes anytime during your care at TOC. We participate with most insurance plans; however, it is the patient’s responsibility to ensure proper authorization and physician participation before making an appointment. We recommend patients read their policy book or call their insurance company to learn about the benefits and coverage of their policy.

Primary plans we contract with are listed below; it is not a comprehensive list. If you have a question about your plan, please ask for assistance.

Find the right care at the right price with HealthMe Self-Pay MarketPlace (for patients without health insurance). Patients can now shop for healthcare the same way they shop for everything else – with price, quality, and convenience.

Patients are expected to pay all co-pays, co-insurance and deductibles at the time of service. If your insurance plan has a high deductible ($1,000 or greater), a payment of $270 for new patients or $135 for follow-up appointments will be due at the time of your appointment. Monthly statements are mailed to each patient with patient balance due expected within 30 days. Our business office experts will be happy to assist you with any questions regarding services provided.

TOC has engaged EZE Billing for certain patient billing services. If you receive a statement from EZE Billing, please be assured that it is legitimate correspondence.

The business office can be reached at (256) 539-2728.