Ding Lei, A Pro. Med. Corp.

1661 Hanover Rd Suite 101

Dr. Ding, Lei Office Policy

 

Appointments:  We see patients by appointment only.  Same day appointments are usually available for urgent or sudden illness.

After Hours and Emergencies:  For a serious emergency call 911 right away.  If you are not sure and you call our office, please be sure to tell the person who answers the phone that it is an emergency.

Urgent Need or Sudden Illness:  We have a limited number of same day or  walk in  appointments available every day.  Please call early in the day, as these spots fill up quickly.

Cancellations:  Please call within 24 hours if you are unable to keep your scheduled appointment.  This allows us to provide that time slot to another patient.

Treatment of Minors:  Patient under the age of 18 must be accompanied by a responsible adult or have written permission for treatment from a parent or guardian.

Lab Work:  Some lab work we do in our office like glucose test, urinalysis Majority of lab work we send out to reference lab.  In some situations, insurance company requirements dictate that we send out lab work we could otherwise do in our office.  If you want your lab work to be sent to a specific lab make sure you tell us every time.  Routine reports take 1 week for our office to receive.   If you have diagnostic testing lab, radiology please schedule a follow up appointment with 7-14 days to go over the results with your physician and you will be subject to your co pay/co-insurance.  Results will not be given over the phone.   We will provide copy of report for a fee or we can email your report for free. All lab and x-ray services will be billed by the contracted lab or radiology. You may receive a bill from them please contact their billing department for any billing questions.

Complete Physical Exams:  We believe that routine, annual complete physical exams with screening lab test are very important to maintain good health.  However, insurance benefits vary.  Some policies cover wellness and others cover visits when you have a complaint. Please learn about your benefits prior to your appointment so you will know what is covered by your insurance plan.

Prescriptions and Refills:  The best time to get a prescription refills are at your appointment. If you need to call for refills don't wait until you have run out.  Most refills require the doctors approval.  If your doctor is out for the day it may be the next day or Monday before it can be authorized. Some medications have potential side effects that must be monitored.  We require checkups every 3 or 4 months for these medications.  Be sure to keep those follow up appointment.

Narcotics:  We do not prescribe narcotics for chronic use.  We do not call in narcotics after hours.  If you require use of narcotics our physician will refer you to a pain management specialist.

Mail order prescriptions:  Many insurance plans offer financial incentives for using mail order pharmacies.  We are gald to print out prescriptions for your mail order pharmacy needs.  You can pick these up at our office.  We do not fax or call in mail orders.

Referral:  Sometimes this can be done on the same day as your appointment and sometimes it can take 3-7 days, depending on your insurance and/or the urgency of your situation.  As a patient, it is your responsibility to ensure that your specialist is on your plan.  It is also your responsibility to ensure your specialist receives your test results.  You should pick up a copy of your test results from our office and hand deliver them to your specialist or specialist can call our office and we can fax reports.  Please understand that it can sometimes take a few weeks to get an appointment with a specialist.  This is not something we have control over.

Dismissal:  If you are dismissed from the practice it means you can no longer schedule appointments, get medication refills or consider us to be your doctor.  You have to find a doctor in another practice.

Common reasons for Dismissal:  Failure to keep appointments, frequent no shows, noncompliance which means you won't follow physician instructions about an important health issue, abusive to staff, failure to pay your bill. Dismissal process:   We will send a letter to your last known address, via certified mail, notifying you that you are being dismissed.  If you have a medical emergency within 30 days of the date on this letter, we will see you.  After that, you must see another doctor.  We will forward a copy of your medical record to your new doctor after you let us know who it is and sign a release form.

No insurance:  Payment must be due at the time of service.

Insurance:  Although we are contracted with several insurance companies, it is your responsibility to make sure that our physician is in your plan.  It is also your responsibility to know your insurance benefits.  As a courtesy to our patients we will verify your insurance : A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member?s contract at time of service.  In order to do this we will require information from you. We will need all your demographic and insurance information prior to your appointment.  We ask that at the time of your appointment you bring your insurance card and photo ID as well as any other forms that will assist in making sure that your claim is filed correctly. 

At the time of service you will be responsible for all fees that are not covered by your insurance, including co-pays co insurance and deductibles and non covered services.  The co-pay cannot be waived by our practice as it is a requirement placed on by your insurance carrier.  We strive to be as accurate as possible in calculating your responsibility but with so many variations in policies and fee schedules, we are not always exact.

Auto Accident:  If you injury is a result of an auto accident, you are required to pay for services and then collect form the auto carrier.  We will not file your insurance but will provide you with a receipt to do so.

Workers Compensation:  If your injury is due to an accident in your work place, please inform the receptionist immediately.  We are not authorized to treat you for this type of claim.  You will need to contact your supervisor for instructions on how to file a worker's compensation claim. 

Return Checks:  Returned checks are handled through our office.  There will be a charge assessed by the bank and fee charged by our office also.

Disability, Insurance Forms, FMLA:  There will be a charge of $25 for the completion of medical forms or you may be required to schedule an appointment.  Payment is due at the time that you pick up these forms.  Please allow 7-10 days for the completion of these forms.  If you would like the forms mailed to you or insurance, payment will be due prior to mailing.  

Medical Records:  We will provide you a copy of your medical records upon request and for a fee.  You will need to sign a letter of release prior to have them copied.  Please allow up to 10 days for this request to be processed.

Billing: If you receive a bill form us it is because we believe the balance is your responsibility.  Please contact your insurance company first if you think there is a problem.  If you have any questions about your bill, please call our office immediately.  If you cannot pay your entire balance, please call to make payment arrangements.

Collections:  Accounts that are not paid within 30 days begin our in house collection process.  If your balance becomes 65 days old your doctor will be notified and you may be subject to dismissal from the practice.