Return to Policies page                                         Financial Policy of Comprehensive Heart Care, Inc. 

                                                                   Medical Mutual of Ohio Insurance Company

Filing Your Insurance Claims
Dr. Roberts is not a preferred provider with MMOH. It is your choice (see attached sheet) to see Dr. Roberts as a non-preferred provider.  Your deductible and out of pocket co-pay may be higher than with a preferred provider. Our billing office will file your insurance claim for you, provided you have completed the patient registration form and signed a release allowing our office to forward to MMOH the information required to process your claim. Please bring your insurance card with you to your office visits.  If we do not have your current insurance information, you will be responsible for paying for services rendered.

MMOH may send you the payment for your visit with Dr. Roberts.  You are responsible for sending the payment and explanation of payment to us within one week from the time you receive it.  If you instead cash the check to yourself, you will be dropped from the practice.  MMOH will not pay Dr. Roberts directly, but our office will receive notification from MMOH that the corresponding reimbursement check was sent to you.  Sometimes these checks are for a great deal of money (fees for heart catheterization, stress echo, or for 35 hours of MME).  We have had patients who feel that it is their prerogative to profit off their illnesses; they cash the checks and keep the money for themselves.  This is fraud.  This is stealing - from Dr. Roberts, from his family, from his staff, and from his other patients.  Don't think that we will look the other way on this.  If you cash the check and keep the money you will be dropped from the practice and your account sent to collection for legal proceedings against you.  We don't like this system.  It makes no sense that the check be sent to you instead of to this office - but this system was forced on us by MMOH.  Our only alternative is to refuse to see patients with MMOH insurance.

Paying at the Time of Service
It is necessary that you pay all deductibles and office visit co-pays at the time of service. All supplements, patches, etc. must be paid for when you pick them up.  We will accept telephone or mail orders to send supplements/patches to you with valid credit card information.  You will not be able to purchase supplements/patches or schedule an office visit with Dr. Roberts if there is an outstanding or unaddressed patient balance on your account.  Basically, if you owe us money, and the amount is clearly defined, we want you to pay us before we provide you additional services. 

Collection Procedures
You will receive a monthly statement if there is a patient balance due on your account.  If you account balance is not paid within ninety days, collection action will be taken.  Please make every effort to keep your balance current and in good standing.  If special arrangements are required, please speak with the receptionist.  The receptionist will direct you to our Office Manager who can determine what arrangements are applicable to your situation.  If your account is transferred to an outside collection agency, you and your immediate family members will be terminated from care with Comprehensive Heart Care, Inc.  If you are terminated, you will be given a thirty day notice to seek a new physician.

I understand the above information and agree to comply with this policy.

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Patient/Legal Guardian/Parent Signature                                          Date

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Relationship to patient (if other than patient has signed)