+1 (701) 551-6980 info@cpmfargo.com

POLICIES & BILLING

Policies & Billing

Welcome to Center for Pain Medicine, PA. Our staff is committed to providing a quality experience for all patients who utilize Center for Pain Medicine for their specific health care needs. To ensure that all patients are treated in an equitable, fair, and professional manner, the following policy and procedures have been established:

 

If you have coverage with Medicare, Blue Cross/Blue Shield, Medical Assistance, Tricare, Worker’s Compensation or a commercial/managed care insurance company, please read the following policies carefully:

  • Proof of insurance (insurance card) is required and must be presented at time of service to ensure correct billing information. All Medicare supplemental and secondary insurance cards must also be presented at time of service.
  • If services will be for a workers compensation injury, automobile accident or other accident related injuries, you must provide the name and address of the insurance company covering the injury, insurance agent name, the date of the initial injury and other specific information needed to submit a claim on your behalf at the time of registration.
  • If correct insurance information is provided at the time of service, it is the policy of Center for Pain Medicine to file claims to the appropriate carrier unless otherwise instructed.
  • A monthly statement will be sent to the guarantor of the account after insurance has paid and if there is a remaining balance due. If no payment is received from the insurance company within sixty (60) days from the date of service, the account will become self-pay and transferred to guarantor responsibility. Those covered by Medicare, Medicaid, or Worker’s Compensation will only receive a statement from Center for Pain Medicine if there is a patient balance due.

If you are covered under a Managed Care Plan through your employer:

  • It is your responsibility to check and verify that Center for Pain Medicine and the medical providers are authorized under your plan. Your visit may not be paid by your insurance company if Center for Pain Medicine or the medical providers are not participating in your specific health insurance plan. Should this occur, your account will be considered self-pay and you will be responsible for the amount due.
  • All co-payments designated by your specific insurance plan for clinic services, are the guarantor’s responsibility and are payable at the time of service. If your insurance plan has a co-payment for clinic visits, please be prepared to pay that upon each visit.

If you have no medical insurance:

  • You are considered self-pay and will be responsible for payment of all charges at the time of service. If full payment cannot be made, a minimum payment must be paid at the time of service and arrangements for full payment will be made with the Clinic Manager prior to services rendered.

Questions regarding insurance submission, payment, or any other issues related to the charges on your account should be directed to the Clinic Manager at 701-551-6980. Thank you for your cooperation.

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Accepted Insurances

ACCEPTED INSURANCES

View a complete list of insurances.

PATIENT PORTAL

PATIENT PORTAL

View instructions for registering.

PATIENT REFERRALS

PATIENT REFERRALS

Center for Pain Medicine is accepting new patients.  Please download the referral form and fax to 701-551-6984.

POLICIES & BILLING

POLICIES & BILLING

View our policies and billing information