Monday-Friday, 8:00AM to 5:00PM
Please arrive 15 minutes prior to your scheduled appointment time to allow sufficient time to complete all necessary paperwork.
Patient Billing Agreement
Request Medical Records
Insurance Co-Pays and Deductibles
Insurance co-pays are expected at the time of service and can not be waived. We accept cash, check or credit cards. If you have a deductible you may be asked to pay this prior to being seen.
Appointments should be cancelled within 24 hours to allow other patients an opportunity to be seen. If you need to reschedule or cancel an appointment, please call 615-288-4087.
Please notify the Clinic of any insurance changes. A photocopy of the patient’s current insurance card will be kept in the chart to ensure prompt and accurate filling. It is your responsibility to inform us of any changes.
Patient Information Changes
Please notify the Clinic of any personal record changes such as name, address, phone number. This will allow us to keep our records current. All patients will be asked to complete new paperwork once a year.
Please direct all billing questions to our Billing and Insurance Department at 615-288-4087 ext. 222.
Referral Request Process
We advise you to first check your benefits book or call your insurance company to determine their current rules regarding referrals. Depending on your insurance, many types of specialist visits require a referral approval from your insurance company. If you know of believe that you need a referral from your PCP, please call our main number (615-288-4087) to schedule a referral request evaluation visit with your Physician.
Patients who are in a managed care plan requiring referral authorizations must request it at least 3 days before a visit to a specialist or within 48 hours after an ER or Urgent Care visit. If you fail to do this it may result in you being responsible for payment to the Specialist or the ER. You are responsible for being aware of your own insurance plan requirements for advance referral authorizations. After approval, we will advise you to schedule your appointment with the specialist after we inform them that you are approved for a visit.
If you need an insurance authorization, we will submit a request for a referral authorization number from your insurance company. If it is denied by your insurance, we will contact you and explain their decision. Please be aware that the insurance companies reserve the right to take up to 3 business days to respond to specialist or testing referral requests.
Note: In most cases, even if your insurance does not require a referral authorization for you to see a specialist, we will require that you first schedule an office visit here to allow your doctor to evaluate you and make sure that you actually need to see a specialist or have special testing done.
Scheduling Specialist Appointments
If we are required by your insurance to schedule your appointment, we will notify you of your appointment date and time by telephone or e-mail. We will generally not schedule specialist appointments for you if you are permitted to do so by your insurance company’s rules. In those cases, we will advise both you and the specialist’s office of the approved referral, and you will then make your own appointment with the specialist.