Please be mindful that it is the patient’s responsibility to contact our office and notify us of any changes to your insurance, prior to your appointment. Waiting until the day of your appointment will result in a delay of your appointment. As a courtesy, our office assists in tracking referrals and checking eligibility, but it is ultimately the patient’s responsibility to be aware and track this information.
You will be required to provide your most recent insurance card(s) and current photo ID at every appointment.
Please arrive 15 minutes prior to every appointment.
ALL copays will be due at check in on the day of your appointments. Note: copay amounts may vary depending on appointment type. Secondary insurances may also require a copay.
Urine Drug Screens
All patients receiving medications are subject to random urine drug screens. Patients will be responsible for all copays, deductibles and/or coinsurance for this service. The urine drug screen is sent to a specialty lab to obtain quantitative results after we obtain qualitative results in office. This means we run an initial screening in our office and then send the urine drug screen to a specialty lap to obtain a confirmatory report. Patients may receive a bill from our office as well as the outside lab, as they are two separate tests.
Some insurances require an insurance referral from your Primary Care Physician in order to be seen by a specialist. It is the patient’s responsibility to be aware if this is a requirement for their plan. As a courtesy, our office assists in tracking these referrals, but ultimately is the patient’s responsibility to track and contact their PCP when an updated one is required. Referrals must be provided at the time of your appointment or before your appointment.
Select insurance companies require prior authorizations for procedures and/or medications. We start prior authorizations for procedures once they are scheduled. We start prior authorizations for medications once the pharmacy advises us it is required. Procedure authorizations may take up to 10 business days depending on the type of Insurance. If a procedure authorization is pending or denied, patients will be notified no later than two business days prior to their scheduled appointment.
Please note that Physical therapy documentation may be required for procedure, imaging and medication authorizations. Failure to comply with recommended treatment plan could result in denials of appointment and medication request.
Pain And Spine Specialists Of Maryland places significant importance on assessing all aspects of our patient’s health which includes behavioral, mental cognitive health. Neuroflow and Cambridge Brain Sciences are diagnostic tests which play a pivotal role in providing effective treatment and care for our patients.
Updated imaging is a requirement of our practice. The most current imaging is needed to determine appropriate treatment plans such as scheduling injections and receiving medications.
Please schedule your next appointment at check-out, before leaving the office. Failure to do so may prevent you from obtaining an appointment that works best for your schedule or complies with your medication schedule.
We see patients based on appointment times not arrival times.
At Pain and Spine Specialists, our team of physicians and nurse practitioners are committed to giving you the most effective treatment when treating your pain. We believe that all patients should have access to quality care, and that is why you can find us conveniently located throughout Maryland, Pennsylvania, and Virginia.