Healthcare benefits and coverage options have become increasingly complex. Due to this complexity, we have developed the financial policy to help you better understand your rights and your responsibilities as a patient.
We will do our best to assist you with understanding your proposed treatment and in answering questions related to submitting your insurance claim for reimbursement.
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible (visit https://www.cms.gov/nosurprises)
Our doctors are in-network with multiple insurance plans, including Medicare. We will verify your insurance benefits and will advise you if your doctor is not in your network. If your doctor is out-of-network, but your plan has out-of-network benefits, we do accept it. Some insurance companies send checks for providers directly to the insured to pay your provider. You must remit such payment directly to NJ Advanced Surgical Solutions within 10 days of receipt. We will ask you to sign an Assignments of Benefits authorizing us to receive payments from your health plan for the services we rendered to you.
Financial hardship should never stand in the way of needed services.
Your cooperation is greatly appreciated. It will assist in enabling us to pursue proper reimbursement from your insurance carrier, rather than yourself.
Dr. Prokurat’s Team