Billing & Insurance
Billing
San Diego Sports Medicine & Orthopaedic Center is contracted with many insurance carriers. We are happy to bill your insurance carrier as a courtesy. We require a copy of your insurance card and a picture identification card prior to services being rendered. If services are denied by your carrier or if you are ineligible to receive benefits, you are financially responsible for all incurred charges. Please be prepared to pay your required co-payment or deductible at the time of service.
Health plan coverage varies significantly by carrier, by employer, and/or by contract. We cannot know the benefits and exclusions of each patient’s health plan. It is the patient’s responsibility to know and understand his or her health plan coverage and benefits.
Please be prepared to pay for all patient due amounts at time of service. This includes:
- Co-payments
- Deductibles
- Outstanding Balances
For your convenience we accept cash, checks, debit cards, MasterCard, and Visa. If payment is not made at the time of service there will be a $15.00 fee added to your account to cover our costs associated with preparing, sending and processing patient statements. For your convenience we also accept payments online via the Patient Portal.
Thank you for your cooperation and helping us to keep our cost to patients at a minimum.
Billing
If you have questions regarding our fees, we encourage you to discuss them with our Billing staff. Our fees for professional services are consistent with those in the community. An estimate for proposed services may be obtained upon request, and in many instances are given routinely. We suggest you contact your insurance prior to services being rendered so that you are aware of your potential financial responsibility.
Statements
The billing statement will itemize services as well as any payments, deductibles, or co-insurance amounts applied by your carrier. If you do not understand your statement or have questions regarding your balance, please feel free to contact our Billing Department for clarification. If your insurance delays processing or process your claim incorrectly, you will need to contact them directly. If you cannot meet your financial obligation, please contact our Billing Department (619) 444-5917 or SDSM@kandcmedical.com.
MasterCard and VISA are accepted.
Medicare
If you are covered by Medicare (Part B), San Diego Sports Medicine & Orthopaedic Center will bill them for services rendered. We will bill your supplemental insurance upon request. This may not apply to some patients under supplement HMO plans. We require a copy of all insurance cards for billing.
SDSM INFO
San Diego Sports Medicine & Orthopaedic Center, Inc.
6719 Alvarado Road, Suite 200
San Diego, CA 92120
Phone: (619) 229-3932
Billing Department Phone:
(619) 444 -5917
OFFICE HOURS
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
8:00 am – 4:30 pm
8:00 am – 4:30 pm
8:00 am – 4:30 pm
8:00 am – 4:30 pm
8:00 am – 4:30 pm
Closed
Closed
GET IN TOUCH
San Diego Sports Medicine & Orthopaedic Center, Inc., San Diego, CA
Phone (appointments): 619-229-3932
Phone (general inquiries): 619-229-3932
Address: 6719 Alvarado Road, Suite 200, San Diego, CA 92120
The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov. For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.
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