CSMO Financial Policy

Insurance

If your insurance plan assigns a COPAY amount to your visit, the COPAY is due at time of service.

If your insurance benefits indicate that services rendered will be applied to your deductible and coinsurance, then it is our policy to collect a deposit toward any deductible/coinsurance at the time of service. We will file your insurance claim. You will be responsible for any additional balance not paid by your insurance.

A deposit of $175.00 (new patient) or $75.00 (established patient) is required BEFORE you are CHECKED IN at the front desk.  You will be responsible for any additional balance for services rendered upon CHECK-OUT at today’s visit.

If a REFERRAL or AUTHORIZATION is required by your insurance carrier but has not been obtained for this visit, it is your responsibility to request/obtain the referral for today’s visit and any future visits to our office. Our staff will assist you as much as possible, but the ultimate responsibility lies with you, the patient. Without the referral or authorization you are responsible for payment in full for today’s visit. If a retro-active referral is obtained, then notify us immediately and we will file a claim to your insurance on your behalf. Once insurance has paid, we will refund you any credit balance that is due to you.

If our physicians/providers DO NOT PARTICIPATE in your insurance’s network, then your out-of-pocket expenses will be more than if you see an in-network physician. The cost to you depends on your out of network benefits.  We will file your insurance as a courtesy to you. If your insurance pays more than the balance, then we will refund you any credit balance that is due to you.

Self-Pay

If you do not currently have insurance coverage, Center for Sports Medicine & Orthopaedics offers a self-pay option. Please visit www.sportmed.com/pricing for more information.

Workers Compensation

If this is a work-related condition/injury and a work comp authorization has not been received by our office, you are responsible and may be required to pay the balance for these services. If a retroactive authorization is obtained, then notify us immediately.

Imaging/Testing

If your physician determines that and MRI or surgery is required, we will estimate your out-of-pocket expenses based on your insurance benefits. It is our policy to collect payment towards this estimate prior to the service being rendered.

No-Show Policy

CSMO’s no-show policy helps ensure that appointment times are used efficiently, supporting better access to care and smoother office operations.

  • Patients who do not cancel or reschedule their office visit or MRI appointment at least one business day prior to their scheduled appointment time may be charged a $75 no-show fee.
  • Patients who do not cancel or reschedule their physical therapy appointment at least one business day in advance may be charged a $50 no-show fee.
  • Patients who do not cancel or reschedule their EMG or in-office procedure at least 3 business days in advance may be charged a $75 no-show fee.
  • Patients who fail to cancel or reschedule a surgery/procedure at least 3 business days in advance may be charged a $200 no-show fee.

Please Note: Patients are solely responsible for all fees as they will not be charged to insurance.