Billing, Authorizations and Insurance
Please CLICK HERE to see a list of insurance plans we participate with.
At Neurology Center of Fairfax we are happy to work with you on any billing issues. Please call our Patient Accounts Office at 703-876-0813. Our staff will help you obtain maximum insurance benefits; however, the specifics of your insurance agreement are between you and your insurer. For any issue in paying your bill, speak with our Patient Accounts Office. Overdue accounts will be pursued for collection.
Authorizations for services or medications will be processed by our office; please allow 5-7 business days for this transaction. If our request is denied, we can help with an appeal. You will be contacted by us once your authorization request has been obtained. If the request is for medication, your pharmacy will contact you. In a number of instances, your insurance will agree to pay part, and the remaining balance is your responsibility. Payment is due on the day of your procedure.
In the event your insurance company denies a medication or procedure prescribed by your doctor, there are some steps you can take. Your doctor has already completed a prior authorization outlining your need for this medication, procedure or therapy and its medical necessity. We recommend that you now appeal directly to your insurance company. You should also contact the HR department at your work to appeal. Your personal appeal is now most important. We have provided some guidance about how to do an appeal on our forms page (see the “Appeals” section). If you would like your doctor to write a letter of appeal on your behalf, there is a fee of $25 for this service, and it takes an average of 10 days for an appeal letter to be prepared.
We are a participating provider with Medicare and are required by law to submit all Medicare claims. Secondary insurance claims will also be filed by us. Please do not ALSO file as that will confuse their offices.
If your plan requires a co-pay, you will be required to pay that at the time of your visit.
Insurance-required referrals must be obtained by you prior to your visit. If you do not have the required referrals, you will be responsible for all charges incurred.
Patients without insurance are responsible for all charges incurred. If we are not a participant with your insurance plan, we will provide all of the paperwork required so that you can file a claim.