Appointment Scheduling (859) 277-5711
Surgery Scheduling
(859) 967-1771 or (859) 967-1772
Billing/Insurance
(859) 276-3790
Billing Fax
(859) 967-1769
Clinical Fax (859) 967-1770
Patients with Insurance
As a courtesy to our patients, we will file up to two insurances, however,
please remember, your insurance policy is a contract between you, your
insurance company and/or your employer. You are personally responsible
for any bill, or portion thereof, not paid by a third party insurance
carrier or Medicare. Workmen's Compensation billing information must be
made available at the time of your visit.
If we do not participate with your insurance plan, we will file a claim
with your insurance; however, you may have a larger patient responsibility
than you would if you were seeing a physician in your network.
We recommend that patients call their own insurance companies to
familiarize themselves with deductible, co-pay and co-insurance amounts and
to determine if our doctor is in your network.
If your insurance plan requires a referral, you are responsible for
obtaining the referral prior to your visit.
Co-Pays for office visits are due at the time of service.
Our billing statements come in our corporate name “United Surgical
Associates”.
All balances after insurance has paid are due within 30 days of receipt of
statement. If you cannot pay your balance in full within 30 days,
please contact our billing office to make special arrangements. Any
outstanding balance not paid on for 90 days, will be turned over to a
collection agency.
There is a $25 fee for any returned check.

Patients Insured By Medicare
We do accept Medicare Assignment.
If a patient is insured only by Medicare, the patient is responsible for the 20% that Medicare DOES NOT pay.
At the beginning of the calendar year, Medicare charges patients a deductible. We do collect the Medicare deductible from patients without a secondary insurance.
We do not participate with Medicare Senior Care Advantage, Anthem Medicare Advantage HMO

Self-Pay Patients
We do offer our Self-Pay patients a discount off of our Standard Fees.
Payment for services performed in our office is due at the time of service.
We ask for a $200 deposit on planned surgeries when patients are Self-Pay.

Medical Forms and Records
There is a $20 charge for our office to fill out FMLA and insurance forms.
This fee must be paid before forms are completed.
A patient is entitled to one free copy of his/her records. Additional copies will be provided for a charge of $1 per page.
If you have any questions regarding Billing or Insurance, you may reach our billing office directly between the hours of 9:00am and 5:00pm Monday through Friday at
(859) 276-3790.
Prescription Refills
For prescription refills, please call the office and ask to speak to your doctor’s nurse.
Please be aware that medication requests are only handled during normal office hours
(9:00-5:00 M-F), such requests cannot be handled after 5:00 on weekdays, on weekends, or on holidays.
If you have any questions or comments about our practice, please call us
at
(859) 277-5711.