Billing & Insurance

Business Office Information

*Please have all of your information ready to call our helpful business staff:
Monday - Friday: 8:00am - 5:00pm

Phone: (518) 489-2880

For all other inquiries, call: (518) 489-2666

Health Insurance

Please provide us with your complete insurance information, and bring your insurance card to all of your appointments.  If you do not have all your insurance information at time of visit, i.e. policy number and address of insurance, our policy requires payment in full at the time of treatment and you will be provided with a superbill to submit to your insurance. The following is a list of Insurance Companies we participate with:

Managed Care Plans

To accommodate the diversity of approaches to health insurance in today's managed care environment, we participate with a large number of managed care plans. The key to the smooth processing of your managed care claim is the Referral Form completed by your Primary Care Physician. To see us for an office visit, you must provide a Referral Form or be willing to sign a Statement of Personal Responsibility. If your plan requires a co pay, this payment is expected at the time of service or a $10 fee will be charged.

Worker's Compensation & NYS No Fault Insurance

If you are injured through your employment or are involved in an accident, we will file your Worker's Compensation or No Fault Insurance claim. You must bring the required information (our staff can assist you) to your appointment so that we may properly process this type of claim. You and your employer's cooperation will help insure timely submission of this claim.

Medicare

As a participating provider, we welcome Medicare patients and are pleased to submit your Medicare and any secondary insurance claim forms for you.

Your Responsibility

If we do not participate with your insurance, we will submit the claim on your behalf as a courtesy.  There will be a $15.00 fee changed for a returned check.  The business office at Capital Region Orthopaedics is here to help you.

Durable Medical Equipment

There is a wide variety of coverage for DME, some plans cover in full, some pay 80% with a 20% co pay, others plans only cover with the appropriate rider. Some plans cover certain items of DME but not all. With all these variables we cannot be expected to know the coverage you have in your insurance contract. It is NYS law that DME cannot be returned.

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