At pavlick&reppas we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures.
As a courtesy, we will attempt to verify your health insurance benefits, and or necessary authorizations for you. Please be aware, this is only “A Quote of Benefits/Authorizations.” We cannot guarantee payment or verify that definite eligibility of benefits conveyed to us or to you by your carrier will be accurate or complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service.
Laboratory Services: You may receive medical services such as: laboratory services (e.g., bloodwork and pathology specimen examination). By signing below, you understand that some physicians may not provide services in your presence, but are actively involved in the course of diagnosis and treatment. You may incur additional charges as a result of these services, and would be billed separately by that entity or provider.
If you have any problems or questions please contact our staff. They are well informed and up-to-date on insurance processing. They can be reached by phone at 330.678.6564.
Please bring your insurance information with you to the consultation so that we can expedite reimbursement.