Phone
419-663-5000
Fax
419-663-5005

nomsao.com

 

Office Policies

 
Appointment Information
 

No Show & Cancellations

 

You must cancel your appointments at least 24 hours prior to the scheduled time or you may incur the following fees and possible inability to reschedule the appointment.

 

Office Visit No Show Fee:  $50.00

Office Procedure No Show Fee:  $100.00

 

New Patients

We are accepting new patients.  Your insurance may require a referral in order to pay your claims, so please check with your insurance company.

Same Day Appointments

We do offer limited same day appointments.  This is based on the severity of the injury and the availability of the doctor.  It is always best to schedule ahead if and when possible.

 

Billing Information
 
Accepted Insurances

We are a part of the Northern Ohio Medical Specialists and our accepted insurances are maintained by the group as a whole.  Please click here to find an updated list.

Co-Pay Policy

Please note that your co-pay MUST be paid at the time of your visit.  This is the policy set by YOUR insurance companies and is something we must follow.  Failure to have your co-pay may result in having your appointment rescheduled.

Payments

Cash, checks and credit cards are accepted.

Self Pay Policy

New Patient/New Problem Visit:  A minimum payment in the amount of $200.00 is due and payable at the first visit before seeing our physicians.  This payment may not cover all of the services performed during the visit, but qualifies as a good-faith down payment on all services rendered.  The patient will then be balance billed for any further charges above and beyond the initial down payment of $200.00

 

Follow Up Visit:  At each subsequent visit a minimum payment in the amount of $100.00 is due and payable before seeing our physicians.  This payment will first be applied to any unpaid balance from previous visits, and then applied to the charges incurred on that date of service.  Once again this amount may not cover all charges for that visit and the patient will then be billed for any further charges.

 

Surgery:  A minimum payment in the amount of $500.00 is due and payable before any surgery will be scheduled through our office with our physicians.  This payment may not cover all the services performed during the surgery, but qualifies as a good faith down payment on all services rendered.  The patient will then be balance billed for any further charges resulting from surgery.

Insurance Cards

Please be prepared to present your insurance card(s) at EACH office visit.

 

Prescriptions and Various Information
 
Prescriptions

Prescription requests will be filled the next business day.

Forms

 

Forms to be completed by our physicians and staff will be subject to the following fee schedule:

 

-First two forms in a 12 month period:  Free of charge

-All additional forms:  $15 per form

 

Examples of these include, but are not limited to, the following:

FMLA, Short Term Disability, Loan/Mortgage, Metlife, AFLAC

Note:  There is a 5-7 BUSINESS day turnaround time on all forms being completed.

 

 

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OFFICES:  NORWALK - SANDUSKY - WILLARD

 

Copyright 2014 NOMS Access Orthopaedics

A Division of the Northern Ohio Medical Specialists