Billing / Insurance

IMUA Orthopedics, Sports & Health participates with most insurance plans.  Please contact our office prior to your appointment to ensure that we accept your insurance.  We will gladly file claims on your behalf, however, you are ultimately responsible for your account balance. 

REFERRALS - Some insurance plans require that you obtain a referral from your primary care provider in order for your visit to be covered.  Failure to obtain the necessary referrals may lead to your visit being denied and as a result, your having to be responsible for the entire balance. 

PAYMENT AT TIME OF SERVICE - We ask that you remit payment for any applicable co-payments, deductibles, or co-insurance amounts at the time of service.  Once your insurance carrier has processed your claim, any outstanding balance not collected at the time of service will be billed to you. 

If you do not have any insurance coverage, or if there is a question of whether or not your insurance carrier will cover your visit, we require a payment of $150.00 at the time of service.  In the event that your insurance carrier does make payment, you will be refunded your payment less any balance due.

If you do have an outstanding balance due, we would appreciate your prompt payment in full.  In the event that you are unable to make payment in full, please call our business office at (808) 521-IMUA and we will be happy to arrange a payment plan for you. 

DELINQUENT ACCOUNTS - If multiple attempts to collect payment from you are unsuccessful, we reserve the right to turn your balance over to a collection agency.  In addition to the balance due, you will also be responsible for any legal or collection agency fees due. 

RETURNED CHECKS – A $20.00 fee will be assessed for each check returned for insufficient funds.

OSTEOPATHIC MANIPULATION- OMT diagnostic and treatment codes are universally accepted for reimbursement with most insurance carriers including for example HMSA, United Health Care, MDX Hawai‘i, Aloha Care, Cigna, and Medicare.  Please contact your insurance carrier to specifically inquire about coverage for OMT under your given plan.  

OTHER OFFICE POLICIES

CANCELLATION POLICY -  If it is necessary to cancel your appointment, we kindly ask that you give us at least 24 hours notice so that the appointment may be reallocated to someone who is in urgent need of treatment.  Failure to do so may result in a $30.00 No-Show fee.

MEDICATION REFILL POLICY -  Please call our office during normal business hours.  Prescriptions will be called in within 48 hours of request.  Refills will not be handled after hours.

NO SHOW POLICY – If you miss your appointment and fail to call us, we will consider this a “No Show” and it will be documented in your chart.  A $30.00 No Show fee may also be assessed.  Repeated "No Shows" may result in a temporary suspension of services.

MEDICAL FORMS COMPLETION – A $10.00 fee will be charged for completion of insurance forms such as TDI, Life Insurance, or Flexible Spending forms.  Payment is required at the time the form is picked up.

REQUESTS FOR COPIES OF MEDICAL RECORDS – If you are requesting a copy of your medical records for yourself or a third party, we require a signed authorization by the patient or their Legal Representative.  This form may be faxed in to (808) 521-8127.  There may be a fee charged for this, and payment in full is required before the records can be released. 

AUTHORIZATION TO VERBALLY RELEASE MEDICAL INFORMATION – In order for us to discuss your medical or billing information with members of your family or others that you may designate, we must receive your authorization prior to doing so.