FINANCIAL POLICY

Thank you for choosing premier allergy & asthma as your healthcare provider.

Please carefully review this financial policy. As your health care provider, our relationship is with you, and not your insurance company. As a courtesy, we strive to provide you with an estimate of your financial responsibility.  The insurance benefit information provided by your insurance plan is based on the latest information they have available. Please remember that your insurance plan benefits are a contract between you, your employer, and/or your insurance company. It is in your best interest to know and understand your benefits. Please contact your insurance company and/or your employer’s human resource department with any benefit questions.

Patient Financial Responsibility

Virtual visits

Referrals/Authorizations

Cancellation/Rescheduling fees

Updated Policies

Patient’s Financial Responsibility

As health care providers, our core competency lies in providing medical care for our patients.  Still, we recognize that health care costs play an important role in many people’s decision-making process regarding their care. We hope that the following information will help you better navigate this process.

  • premier allergy engages a 3rd party billing company to process your billing.
  • We share the treatment decision-making process with our patients.  Except for emergency or life-threatening situations, you have the right to decline any services offered at premier allergy.  Once services have been provided, you are fully responsible for the financial charges related to these services.
  • If you have an HSA/HRA account with a current balance, we will bill your insurance first, and you will receive a bill for any balance due. Please bring your insurance card(s) and HSA/HRA card, if applicable, to your visit.
  • You are responsible for the accuracy of your insurance information and for informing us of any changes in your insurance coverage in a timely manner and prior to service.
  • We depend on you for the accuracy and the most up-to-date information of your insurance. If the insurance information that you have provided us is incorrect, incomplete, or not updated, you will be responsible for the unpaid charges.
  • Occasionally, your health insurance company may request further information directly from you in order to process claims we have submitted.  We ask that you respond quickly to your health insurance company if such a request is made.  In the event that your health insurance company denies claims based on a delayed or inadequate response from you to them, you and/or your guarantor will be held liable for those denied charges.
  • Any non-sufficient funds check(s) will be released to a collection agency and a $20 fee will be added to your account.
  • Payment is due at the time of service and immediately after all claims are finalized by your insurance company.  Failure to make full payment on past-due accounts may result in that account being turned over to a collection agency.  Patients referred to a collection agency may be dismissed from the practice.

Courtesy Estimates

Prior to your visit or medical services, premier allergy & asthma will, as a courtesy, attempt to provide you with an estimate of financial responsibility. This estimate is provided to us by your insurance company.   Due to the complex nature of insurance coverage, we cannot guarantee the accuracy or completeness of this information.  We encourage you to contact your insurance company to verify this information as well. 

For patients with insurance coverage.

  • You acknowledge that you are responsible for this estimated cost at the time of service as well as other costs related to services provided, including but not limited to: co-payment, deductible, co-insurance, and any other non-covered benefits, including but not limited to services exceeding insurance limitations, that may not have been included in this estimate.
  • premier allergy’s inability to provide you with such an estimate or an accurate estimate, does not absolve you of your financial responsibility for the services provided to you.
  • If the patient’s estimated financial responsibility is less than $100, payment for the full amount is required at the time of service.
  • If this amount is over $100, payment of 50% of the amount is required at the time of service.
  • Please resolve your questions or concerns about the estimated cost with your insurance company in a timely manner.  Reference information from our communication with your insurance company, when available, will be provided in your estimate.  Please use this information when contacting your insurance company.
  • A visit that is cancelled, rescheduled, or results in a no-show due to the patient’s or guarantor’s refusal to pay for services based on this estimate will be subject to our cancellation/rescheduling/no-show policies.
  • These estimates are not a guarantee of insurance coverage or payment. You will receive a bill for the remaining balance once your insurance finalizes all the charges related to this visit.
  • You are financially responsible for all of the services provided to you whether or not they are included in the estimate.

For self-pay patients:

  • 100% of the patient’s financial responsibilities are due at the time of service.

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Virtual Visits

For scheduled virtual visits, our policy as outlined in “Patient’s Financial Responsibility” applies to these visits.

For virtual visits that are initiated by the patient, such as a telephone call or an e-visit seeking medical advice, clarification on diagnosis or treatment plan, recommendations for other health care services, or other medically related questions, premier allergy will submit charges to your insurance company based on their requirements for these visits. 

The self-pay rate will apply to services rendered for patients who do not have insurance coverage and to those whose insurance plans do not provide coverage for these virtual visits.

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Referrals/Authorizations

Insurance companies may require authorization and/or referral to see our providers. It is the patient’s responsibility to contact their insurance company and facilitate the required authorization/referral for each service with premier allergy. All non-covered benefits due to improper authorization/referral will become the patient’s responsibility. If the authorization/referral has not been obtained, your appointment may be rescheduled. The cancellation/rescheduling fee may apply.

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Cancellation/Rescheduling/No-show Fees:

We understand that you may have an unexpected change in your schedule.   Please contact us as soon as possible to cancel or reschedule your appointment(s).  

Should you have an urgent situation that arises within 2 business days of your scheduled appointment, simply give us a call.  We will find a different time for you on the same day as your existing appointment that better fits your new schedule. 

If you are under the weather or unable to travel to our office as scheduled, please call us, and we will change your appointment to a telehealth or a telephone visit so that you can keep your appointment from the comfort of your home. 

As we all know, traffic in our Denver metro area has increased as our community has grown.  If you are running late, let us know, as your safety is our priority.  We will work to fit you in to our schedule on the same day.

To help us continue providing comprehensive care for you and other patients, an appointment that is cancelled, rescheduled, or results in a “no-show” without 2 business days advanced notice and that is not converted into a same-day telephone visit or telehealth visit will result in a $50 fee for an existing patient appointment and a $150 fee for a new patient appointment.  This fee will apply regardless of whether or not we received your confirmation of your financial responsibility estimate and/or portal information.

A visit that is cancelled, rescheduled, or results in a no-show due to the patient’s or guarantor’s refusal to pay the estimated fee or lack of timely notification regarding any changes in your insurance coverage that prevents premier allergy from clarifying your benefits and/or estimated cost will be subject to our cancellation/rescheduling/no-show policies.

Repeated cancellations and/or rescheduling of your appointments may result in dismissal from the practice.

Some testing appointments require our team to prepare medications or extracts used for testing prior to your arrival.  You may incur an additional fee or expense if this type of appointment is cancelled, rescheduled, or results in a “no-show” without 24-hours’ notice.

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Updated Policies 

premier allergy & asthma reserves the right to modify these policies at our sole discretion from time to time.  Our most updated policies can be viewed on our web site, premierallergy.com.  These updated policies supersede any other policies or agreements.  

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