Attention Patients/Guarantor:

Please read the following financial policy for Ear, Nose & Throat Associates.

It is your responsibility to have all required paperwork necessary for your appointment (i.e. referral, worker's comp form, insurance claim forms, etc). If your insurance company applies a co-pay(s), co-insurance and/or deductible to your visit, these monies will be collected at the time of service. Failure to be prepared for any of this will result in a cancellation of your appointment and you may reschedule. We file to your insurance company as a courtesy on your behalf; however, you are ultimately responsible for the balance related to any visits and supplies provided to you.

We provide a phone for your convenience to call your PCP to obtain a referral; however we can only wait 15 minutes so we do not back-up the physicians. We use an automatic appointment confirmation system which gives two days notice, if you cannot keep your appointment please call 24 hours in advance to cancel so we may fill the slot with another patient. There is a $25 fee for missed appointments.

Thank you for your cooperation.

If your insurance requires a referral from your primary care physician, it is your responsibility to make sure it is here. If you do not have one at the time of your visit, you may call your primary care physician to request a faxed copy. It must arrive within 15 minutes, or we may ask that you reschedule your appointment.

To ensure proper insurance billing it will be necessary to have your insurance and ID cards with you at each visit. If you do not have your insurance cards or a letter from your insurance company as proof of insurance, your appointment may be rescheduled to our next available time. If you are bringing a letter as proof of insurance it needs to include the name, phone number and mailing address of your insurance carrier, your ID number, and your group number.

Please notify the front desk staff of any changes to your information, i.e. (address, phone numbers, insurance carrier, etc...), prior to seeing the physician.

If we do not participate with your insurance carrier, you will be required to pay for your appointment in full at the time of your visit. As a courtesy, we will provide you with an encounter form to send to your insurance company for reimbursement. If you do not have insurance you will be required to pay for your visit in full at the time of your appointment.

We participate in a variety of HMO and PPO insurance plans. In accordance with the terms of your HMO-PPO plan, the patient co-payment is due at each visit. For your convenience we accept MasterCard, Visa, personal checks or cash.

Except in emergencies, we will take a message and your call will be returned, as our doctors do not accept calls while they are seeing patients. If you need to reach us in an emergency, after office hours, call the office phone number and our answering service will locate the physician on-call.

Greater Baltimore Medical Center charges a fee for parking at the hospital. You will be required to pay the fee at the main gate before leaving hospital grounds. Thank you for taking the time to review our office policies. Hopefully the above information will help ensure a more pleasant and expeditious visit.