Vail-Summit Orthopaedics will help in any way we can with your insurance requirements. Please click on the links below for further information.
Contracted Insurance Plans
Other Insurance Plans
Co-Pays and Deductibles
Referrals and Pre-Authorizations
EOB's and Statements
Payment Plans
Refunds
Insurance plan contracts change frequently and it is possible that this list may not be 100% accurate. We try to update our website regularly, but it is always best to confirm our participation directly with your insurance carrier or by contacting our billing department at 866-358-0202.
There are many insurance plans that we are not contracted with. As a courtesy to our patients, we will bill these insurance carriers on your behalf, however, if the insurance carrier does not process the claim in a timely manner (60 days from the time the bill is properly submitted), we will contact you for payment on your account.
Many insurance carriers require that we collect co-pays and/or deductibles from the patient. Federal law, as well as our individual agreements with the insurance carriers we are contracted with, prohibit us from waiving these fees.
Referrals and Pre-Authorizations
Many insurance plans require referrals and/or pre-authorization for certain services and/or procedures. While we make every effort to ensure your services will be covered, it is ultimately the patient's responsibility to ensure the terms of their insurance plan are met.
In most cases, you will receive an EOB (Explanation of Benefits) from your insurance carrier. The EOB will generally outline what was billed, what was paid and what we can or cannot bill to the patient. These forms vary greatly from plan to plan and contain a lot of terminology you may, or may not, be familiar with. If you should have any questions regarding an EOB you have received, please contact our billing department at 866-358-0202. We would be happy to assist you.
You will receive a statement for unpaid balances on your account. Items pending from the insurance company will NOT show on your bill. If you have questions about your statement, please contact our billing department at 866-358-0202.
If you are uninsured or are responsible for a portion of your services, you will be expected to make payment at the time of service. If you are unable to pay your portion at the time of your visit, please contact our billing department prior to your appointment to discuss payment options. Failure to do so may require us to reschedule your appointment. Our billing department will make every effort to arrange a reasonable payment schedule for the services you require.
Please send all payments due to
Vail • Summit Orthopaedics
P.O. Box 1921
Englewood, CO. 80150-1921
All claims and billing questions should be directed to our billing office: 866.358.0202 (toll-free) or 970.241.0202.
Billing office hours: Monday-Friday 7:30-4:30 MST
In the event that a patient or insurance company has overpaid on an account, we will process a refund check for the appropriate payee as soon as possible.
