The Orthopaedic Group - Billing Policies

"We are available for your billing needs throughout the course of the week ."

TOG Billing Department

Our direct phone number: 203-624-4002

Our Fax number: 203-865-6788

The Orthopaedic Group, LLC is dedicated to providing superior medical care to all of its patients. As part of this care, we are also dedicated to accurate billing practices to ensure prompt and accurate payment from your insurance carriers.

In order to maintain the highest standard of correct billing practices, we must be provided with up-to-date and accurate information from you.

We at The Orthopaedic Group, LLC want to drastically reduce the number of errors and confusion that can occur with inaccurate information. We can only do this with your help.

With constantly changing guidelines and claim submission requirements, the following information is not only standard but crucial for accurate and timely billing practices.

We must be provided with the following information:

Current legal name, address, social security number, home and work phone numbers, Date of Birth, etc.

If the patient is a minor, all of the above must be provided for both patient and the responsible party (ie parent, legal guardian, power of attorney, etc)

Current effective insurance information (ie Group health insurance, worker's compensation, motor vehicle information, etc). Insurance cards must be presented at time of visit regardless if injury is work-related or motor vehicle-related. Here is our list of participating insurance companies.

Employer information of the subscriber (insurance policy holder) must be provided in full (ie company name, address, and phone number).

Copays are expected at check-in at time of service.

If you were injured at work, you must first file a “First Report of Injury” with your employer.  We will need the date of injury, claim number, worker’s comp claim address, and the name and phone number of the adjuster handling your case.

If you were injured in a motor vehicle accident, you must file a claim with your car insurance carrier and obtain a declaration page from them stating whether or not you have available “med-pay” benefits under your current policy.  This will determine whether our billing department will bill through your car insurance policy or your private medical insurance.  Without this information, your claims will not be paid.

If your insurance plan requires a REFERRAL, it must be current and be obtained prior to the appointment. If there is not a current referral on file for the visit, the appointment will be rescheduled.

It is important to note that if at anytime the above information changes during your treatment and/or prior to a visit, the new information shoulder be given immediately prior to or at the next office visit. In the event a claim is denied for any reason due to inaccurate information, you will be responsible for payment.

Providing us with the proper information, will ensure that the claims get paid promptly and accurately, and will reduce the errors and confusion that can sometimes happen.

We appreciate your assistance, and look forward to providing you with superior services and medical care.