Billing and Insurance

The following information is provided to assist you in paying your bill online and in obtaining information regarding accepted insurance, billing, and insurance policies and processes.

Contact: If you have any questions regarding billing or insurance, please contact us at (818) 901-6600, and select Option 2, or e-mail us at moreinfo@scoi.com.

  • To pay your SCOI bill online, please click here.

We are dedicated to providing you with the best possible care and service, and we regard your understanding of our financial policies as an essential element of your care and treatment. If you have questions about your account, charges, insurance, or payments, please speak with one of our billing representatives.

Please have available at the time of your visit the following insurance and identification information:

  1. Your insurance identification card so that we may copy the front and back of the card for accurate insurance information.
  2. Your drivers license so that we may copy the card for accurate demographic and patient specific data.
  3. If you have a health plan that requires its own insurance claim form, please provide us with a signed and completed claim form.
  4. Your referral or authorization for services, if applicable.

All copayments, coinsurances and deductibles are expected to be paid in full at the time of services.  If you do not have insurance, all amounts due for services rendered must be paid in full at the time of services.  

Please review the “Patient Financial Policy” for additional information on our insurance and collection policies. 

For your convenience Southern California Orthopedic Institute accepts the following forms of payment:

• Cash
• Cashier’s checks
• Visa
• Master Card
• American Express
• Discover
• CareCredit

(CareCredit is a healthcare credit card with a credit line for healthcare expenses.  To see if CareCredit is right for you please visit their website at www.carecredit.com or contact CareCredit by phone (800) 677-0718.)

Please note that in the event of non-payment, the account may be placed with an outside collection agency, and the expenses will be added to your account balance. Balances that exceed 90 days from the date of service may be charged a finance fee of 1.5% per month.

If you have any questions, please feel free to ask one of our representatives or our billing service.

Self-Pay Accounts
If you do not have a valid insurance plan to cover the cost of our services, you will be required to make full payment at the time of service.

Insurance Plans
If you are insured, we will bill those insurance plans with which we have an agreement. However, it is ultimately your responsibility to become familiar with the details of your insurance plan coverage. We recommend you contact your insurance company prior to any service so you may understand your allowable benefits. If you have a PPO or HMO insurance plan, we will collect the required co-payment, co-insurance, and any deductible that is due at the time of the visit. In the event that your health plan determines a service to be “non-covered,” we will bill you, and payment is due upon receipt of that statement. Any amount not paid by your insurance company within 30 days will be billed to you.

If your insurance coverage is with a plan that we do not have an agreement, payment is expected in full at the time of service. As a courtesy, we will submit a claim to your insurance company on your behalf.

Your physician may or may not be a participating Medicare provider. If your physician is a participating provider, we will bill your Medicare insurance and your supplemental, if you have one.

Third-Party Liability Injuries
For patients who have been involved in a liability/third-party accident, payment in full is expected at the time of service.

Workers’ Compensation
If you are involved in an “on-the-job” work injury, prior to seeing the physician, the following information must be obtained and verified prior to your visit:

  • Date of Injury
  • Case or claim number
  • WCAB#, if applicable
  • Workers’ compensation carrier information
  • Adjuster’s name
  • Adjuster’s telephone number
  • Employer
  • Insurance Updates

Due to frequent changes in insurance plans and the benefits offered under those plans, our staff is required to review and update your insurance information on a regular basis.

Other Fees: 

  • Copy of records
  • Copy of X-rays
  • Form completion fees

Cash Value Program:  Our Cash Value Program is a special discounted fee structure for those patients who have no insurance, pay cash, or cannot use their medical insurance.

To learn more about our Cash Value Program, please click here.

-A +A