Pay My Bill
We understand medical billing and health insurance can be extremely confusing. Therefore, OrthoVirginia is dedicated to providing you with as much education we possibly can to ensure your entire experience with us is nothing less than exceptional.
Disclaimer: OrthoVirginia participates with various plans administered by the following. For final determination please consult with the appointment scheduler or call the member services line on the back of your insurance card.
We accept most insurance plans and will gladly file insurance claims on your behalf. Ultimately you hold the financial responsibility for your account. We ask that you remit copays, deductibles, and co- insurance according to the terms of your insurance contract at the time services are rendered.
If you have an outstanding balance due, we appreciate prompt payment in full. If you are unable to make payment in full, please inquire about arranging a payment plan. If multiple attempts to collect payment from you are unsuccessful, we reserve the right to turn the outstanding balance over to a collection agency. In addition to the principal balance due, you will also be responsible for any legal or collection agency fees incurred. Any payment made to us in the form of a check that is returned for insufficient funds will incur a $50 fee per incidence.
If you have any questions relative to participation or if you have any other questions regarding your coverage we encourage you to contact your insurance carrier directly and certainly before your visit. We would advise asking the following questions:
To better assist you, we have listed a few of the most frequently asked questions below. We understand you may have more specific concerns. That said we encourage you to contact us via the variety of methods below. We look forward to serving you.
If your insurance plan is not one OrthoVirginia participates with, please do not be discouraged. We will do our best to schedule an appointment for you. However, it is in your best interest to contact your insurance company to verify whether services provided will be covered.
In these cases, carriers will often process your medical claims as “out of network,” which may result in a higher “out-of-pocket” expense to you. For benefit information, please call the member services telephone number located on the front or the back of your insurance card.
We will schedule new patient appointments even if you do not have insurance. Further details will be disclosed regarding time of service payment requirements at the time you speak with a Call Center Agent.
Your insurance company may require a referral in order for your treatment to be covered. Therefore, you should contact them prior to your visit. If you need a referral but do not have one when you come in for your visit, you may have to reschedule your appointment or pay out of pocket for your treatment.
Please go to the Patient Forms section of the website to download patient forms.
If you have been in an auto accident, we will not file to your auto insurance carrier. That would be your responsibility. However, if your health insurance should be filed for an auto-accident, please take the extra step to contact your insurance company for verification and then contact our billing department.
OrthoVirginia accepts cash, checks, money orders, and the following credit cards:
When you check in on the day of your visit, you will be asked to pay a co-payment. The amount of your co-payment can likely be found on the front of your insurance card. Our physicians and physician assistants are considered specialists. Therefore, the “Specialist” co-payment amount will apply.
Depending on your insurance policy, you may also be required to pay additional amounts called “deductibles” or “co-insurance.” If this is the case, you will be billed once we receive correspondence from your insurance company. For more information about deductibles and co-insurance, please contact your insurance company.
If you are planning for surgery, we will contact your insurance company to verify your benefits and any co-insurance amounts you will owe. A pre-surgical deposit may be required based upon these verified benefits. For major expenses such as emergency surgery, fracture care or elective surgery we will work with you to ensure that you are able to obtain all benefits that are due you from your insurance company, and that you are able to satisfy your payment obligation to us.
We would prefer you contact our business office to report any insurance carrier changes or other demographic changes such as telephone number, address, or e-mail address. Please call the main line of the region your physician is in and they will direct you to the appropriate person.
When billing an insurance company, physicians are required to identify the services rendered with codes from the “Current Procedural Terminology” (CPT) book.
The CPT code set was designated by the Department of Health and Human Services as the national coding standard for physician and other healthcare professional services and procedures under the Health Insurance Portability and Accountability Act (HIPAA).
Services such as joint injections and fracture care are found in the “Surgery” section of this resource book. For this reason, “Surgery” may be listed on the patient’s explanation of medical benefits mailed to them from the insurance carrier.
Any procedure classified as “Surgery” is assigned a period of time during which additional visits to the same surgeon are considered part of the standard follow-up care and are not billed. This “global period” can vary from 10 days for a simple procedure to 90 days for a more complicated one.
During the global period, OrthoVirginia will not ask you to pay a co-payment, since treatment for your face-to-face follow-up care with the surgeon is considered part of your original procedure. This does not include additional x-rays or supplies received during the global period. In accordance with your insurance policy, these charges will be billed once you leave the office and, as a result, you may endure some financial responsibility.
Follow-up services provided by someone other than the surgeon, such as a physical therapist or hand therapist, are not automatically covered during the global period. Because of this, additional co-payments, deductibles and/or co-insurance do apply. Co-payments are required at the time of your therapy service.
To improve the musculoskeletal health and well-being of those who live in our communities