FOA Orthopaedics
Contact Us: (540) 373-4602 
Fax: (540) 310-0100 
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Insurance, Payments and Billing
   

FOA Orthopaedic's Health Insurance Policy

  • We require you, the patient and/or guarantor, to provide a copy of your current Insurance Card.  Proper billing information must be listed on that card.
  • We require full payment at the time of service if you cannot provide proper insurance information.
  • If you provide required insurance information after the original date of service, you are responsible for speaking directly to one of our Insurance Billing Clerks to confirm that ALL previous dates of services are correctly billed to the newly provided insurance carrier.
  • Our receptionist will collect all standard co-pays prior to the patient's appointment.  Percentage co-pays will be collected during the check out process.  If we do not participate with your insurance carrier, you will be required to pay 20% of all charges incurred.
  • Deductibles are due in full at the time of service.
  • You, the patient and/or guarantor, will be asked to present your driver's license for identification purposes.
  • You, the patient and/or guarantor, are responsible for contacting your insurance carrier and/or primary care physician to obtain proper referral if required or to confirm the status of any pending referral regardless of information provided by this office.
  • We do not file third party insurance claims.  You will be required to file your personal health insurance or personally pay in full at the time of service.  We will be glad to provide you a copy of charges and payments so that you can be reimbursed by the third party payer.  You will be required to follow normal processes required by your personal health insurance such as acquiring proper referrals and pre-certifications.  We ask that you inform our Billing Department of any legal representation in your behalf and what information is to be released to that entity.  Please ask your legal representative to sign all forms required by HIPAA regulations, which will allow us to release all requested information without delay.
  • Any balance unpaid by your insurance carrier is due in full within (30) days of the billing date.  Partial payment must be approved by our Collection Department.  You may contact them at (540) 372-4223.

FOA's Worker's Compensation Insurance Policy

  • You are required, prior to your appointment, to contact our Worker's Compensation Specialist by dialing our direct Worker's Compensation line (540) 372-4226 to allow us to obtain proper information and to insure that your charges are filed correctly to your Worker's Compensation Carrier.
  • You will need to provide the following information:
    • Employer's name and phone number
    • A contact person at your place of employment who can confirm your date of accident and confirm that you have filed an accident report.
    • Worker's Compensation billing information.  We prefer to directly bill your employer's Worker's Compensation carrier.
    • Assigned claim number/s related to your current Worker's Compensation injury, if known.
  • Any charges not paid in full by the Worker's Compensation carrier within (90) days without proof of compensability will become the your responsibility.  You will be notified of any nonpayment.  Your personal health insurance will be billed, if possible.  Any remaining balance will be billed directly to you and due in full within (30) days of the billing date.

Disability Request and Forms

  • You should discuss in detail with your physician any consideration for disability, excused time off from work or work restrictions.  You are responsible for obtaining this information in writing prior to or during the check out process.
  • If you present a form that is to be completed, a minimum fee of $10.00 and up to $50.00 will be charged, depending on the complexity and length of the form.  This form should first be presented to the Receptionist, not the physician, PA, and/or the assistant.  Pre-payment is required.  Once the Receptionist receives the pre-payment, she will present the form to be completed.
  • We require (10) to (14) working days to complete all forms.  Please present your forms as soon as possible to allow adequate time for completion.
  • If your form has not been completed within (10) to (14) days, please contact our Message Clerk at (540) 372-4220 to inquire about the status of your form(s).  She will have your physician or physician assistant contact you.

Payments

  • Payment in full by cash, check, money order or credit card, will be expected at the time of each visit unless proof of full or partial insurance coverage has been furnished.   Our Receptionist is required to collect payment of all standard co-pays prior to the patient's appointment. Percentage co-pays will be collected during the check out process.
  • If you cannot make the required payment in full, please ask to speak with one of our collection specialists.   To avoid delay of the patient's appointment, please contact our billing department prior to your appointment by dialing our direct billing line (540) 372-4223.  Our collection clerks will be happy to assist you through the payment process.
  • Any balance not paid by the insurance carrier is due in full within 30 days of the billing date.  Partial payment must be approved by our collection department.   Please contact them at (540) 372-4223.
  • SPECIAL NOTICE TO OUR PATIENTS WHO HAVE BEEN CHARGED A FRACTURE FEE OR SURGICAL FEE!  Most Fracture Fees and Surgical Fees include ALL EVALUATION charges for a global period of (90) days.  This means that the physician's evaluations during the global period are at no charge.  However, this does not include any other charge such as x-rays, injections, casting, orthopedic equipment or an evaluation not related to the fracture or surgical care.  If such charges are incurred, payment of standard co-pays and other required payments will be collected at the time of service.
  • Payments not made at the time service can be sent to:

    Fredericksburg Orthopaedic Associates
    ATTN: Billing Department
    3310 Fall Hill Avenue
    Fredericksburg, Virginia 22401

  • Payments can also be made online by visiting FOA Orthopaedic's Secured Patient Payment Portal.

For existing patients with questions about insurance, payments and billing, please call your personal Patient Account Specialist as determined by the 1st letter of the patient's last name.

Patient's Last Name Patient Account Specialists Direct Phone Number
A - B Misti 540-940-2541
C - D Ashley 540-940-2542
E - G Erin 540-940-2543
H - K Janet 540-940-2544
L - M MaryBeth 540-940-2545
N - Q Michele M 540-940-2546
R - S Michele H 540-940-2547
T - Z Sharon 540-940-2548

 

FREDERICKSBURG ORTHOPAEDIC ASSOCIATES, P.C.
Orthopedic Physician Appointments:  (540) 372-4221  |  Physical Therapy Appointments:  (540) 479-4764
FREDERICKSBURG
3310 Fall Hill Avenue,
Fredericksburg, VA  22401
SPOTSYLVANIA
4710 Spotsylvania Parkway
Fredericksburg, VA  22407
STAFFORD
90 Greenspring Drive
Stafford, VA  22554

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