Insurance Information & Billing Policy

For our participating carriers, Middlesex Orthopedic Surgeons will submit all claims and necessary supporting documentation on your behalf. Any co-payment required by your plan will be collected up-front at the time of your visit.

If your insurer is not contracted with Middlesex Orthopedic Surgeons, you will be considered an out-of-network patient. As a courtesy to you, we will submit your claim to your insurance carrier. However, your out-of-pocket expenses may also be higher than those with a provider who participates with your insurance plan. Please note: For those insurance carriers we do not participate with, the claim check may be mailed directly to you. In these cases, you agree to and are responsible for signing and forwarding the check to our billing office.

You will be responsible for ensuring we have all necessary referrals or pre-certifications prior to your scheduled appointment. If you do not have a referral or pre-certification in place when you arrive for your visit, you may be held responsible for payment of your office visit or procedure or your appointment may need to be rescheduled.

Workers Compensation

Middlesex Orthopedic Surgeons will submit "open" claims only, on your behalf, unless we are aware in advance that the claim will be denied. It is the patient's responsibility to provide the office staff with complete insurance information, as well as your case management contact and phone number. Middlesex Orthopedic Surgeons will bill your primary health insurance in cases where worker's compensation denies the claim for any reason. Any balance not paid by the worker's compensation carrier or primary health plan will be the patient's responsibility.

Motor Vehicle Accident (MVA) & Litigation Cases Middlesex Orthopedic Surgeons helps patient manage MVA and Litigation Cases. MVA treatments that are covered under the patient's own insurance will be billed directly from the office. When MVA procedures are being paid by another party the billing requirements are the responsibility of the patient and will be treated as self-pay. Payment of the bill is the responsibility of the individual who has received the treatment, not the individual who is being sued.

Self-Pay Policy

New patients who are self-pay must pay for their initial visit up-front at the time of visit in cash, by credit card or money order.

Returned Checks

A fee of $30.00 will be charged to your account for any/all returned check(s). All future payments must then be made in cash, charge, money order or bank check.

Past Due Balances

All past due balances are expected to be paid in full prior to future treatment, unless you have made payment arrangements prior to your appointment. Patients will be responsible for any costs including court, attorney or collection fees assessed in order to collect payment on my account.

We are pleased you have selected Middlesex Orthopedic Surgeons and welcome your feedback at all times. Our front office staff would be glad to answer any questions you may have in regards to these policies.