Business Services

Here at OrthoIllinois Spine Care we recognize that complex billing procedures and payment methods can be confusing and frustrating for most people. We hope you find the following information about our financial policies and billing procedures helpful.

Insurance Processing

Our patients are encouraged to check with their insurance carrier to make sure that OrthoIllinois Associates is in their care network. As a courtesy, we are happy to file insurance claims for our patients.

OrthoIllinois can also provide care for patients as an out-of-network provider; details of your financial responsibility should be discussed with your insurance company. We will file a claim to our patient’s primary insurance carrier as well as any secondary or supplemental insurance plans they may have once the primary carrier has paid.

We file claims to Workers’ Comp, motor vehicle, and personal injury insurances. Patients can help us file these claims effectively by providing a copy of their current insurance card and all necessary billing information. We participate in the following major plans:

  • Aetna
  • The Alliance
  • Blackhawk Insurance cooperative (BHIC)
  • Blue Cross Blue Shield
  • Cigna / Great West
  • Coventry Medicare Advantage
  • ECOH (Employers Coalition on Health-Midwest Securities)
  • First Choice (Beloit PPO only)
  • HFN
  • Humana / Choice Care
  • Illinois Department of Public Aid (Excluding all HMOs)
  • Medicare
  • Northern Illinois Health Plans
  • OSF – Direct Access Network (DAN)
  • Physicians Care Network HMO
  • Railroad Medicare
  • Rockford College – Student Accident and Sickness Insurance
  • UIC Campus Care (students only)
  • United HealthCare

Specialized Insurance Reps

We offer specialized insurance representatives for most major insurance payors to assist patients with questions about insurance guidelines and payments. Please call (815) 398-9491.

Credit Policy

We share our patients’ concern over the increasing costs of medical care and thus we strive to keep our fees reasonable and customary. If you have any questions about your bill with OrthoIllinois Spine Care, please ask us. You are responsible for payment of your account even if you have insurance; your insurance contract is an agreement between you and your insurance company.

Depending on your contract with your insurance company, you may be required to make a co-payment or pay a deductible amount. Co-payments are required on the date of service. Insurance payments paid directly to OrthoIllinois Spine Care will be applied to your account. If there is a balance remaining you will receive a billing statement.

Billing

Our statements are sent out on a monthly basis through our business office. All charges are due and payable within 30 days of receipt. We accept cash, check, Visa, Master Card, American Express and money orders for payment on your account.

Please contact us if payment in full would be a financial hardship, we will set up a payment arrangement with you. For further assistance please contact our business office at (815) 398-9491.

Office hours are 8:00 a.m. to 5:00 p.m., Monday through Friday.

Referrals

If your insurance plans require a referral for you to see a physician at OrthoIllinois Spine Care; this must be obtained from your primary care physician. Patients are responsible for making sure a referral is in place before services are received. Our business office has referral coordinators available if further assistance is needed. For assistance call (815) 398-9491.

Appointment Cancellation Policy

Our goal is to provide quality medical care in a timely manner. In order to do so we have had to implement an appointment cancellation policy. This policy enables us to better utilize available appointments for our patients in need of medical care.

In order to be respectful of the medical needs of the OrthoIllinois Spine Care please be courteous and call promptly if you are unable to attend an appointment. This time will be reallocated to someone who is in need of treatment. This is how we can best serve the needs of all our patients.

If it is necessary to cancel your scheduled appointment we require that you call by 10 a.m., one (1) working day in advance. Appointments are in high demand, and your early cancellation will give another person the possibility to have access to timely medical care.

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