Billing and Insurance Information

Pulmonary Medicine of Dayton physicians are contracted with most major insurance carriers and all insurance claims will be submitted to any insurance carrier (contracted or non-contracted -if possible) as a courtesy to the patient.  It is the responsibility of the patient or sponsor to know the specific requirements and limitations of the coverage of the insurance plan held.  Specific requirements may include, but are not limited to, the need for obtaining a physician referral or prior authorization for office visits, outpatient testing, and/or hospital admissions.

Questions about insurance coverage and insurance payment or non-payment for services rendered should be directed to the insurance carrier to whom claims are submitted. 

Payment of co-payments is expected at the time of service per the insurance plan requirement.  The co-payment is considered to be a portion of the payment rendered to the physician for services received, and therefore; cannot be waived or reduced per the contractual agreement between the insurance carrier and Pulmonary Medicine of Dayton.

A statement will be mailed to any patient with a balance not billable to insurance.  Payment of the balance due  is expected, in full,  immediately on receipt of the statement.  If you are unable to pay a bill in full, you must call us before your bill is past due to make payment arrangements.