Your First Visit :: Patient Accounts :: Billing Error Disclaimer :: Medical-Legal Issues
Medications :: After Hours Process
South County Orthopedic Specialists
For all appointments and inquiries, please call (949) 586-3200 or click to request an appointment online.
We are happy to hear from you. Please contact us using the information below:
|South County Orthopedic Specialists
24331 El Toro Road
Laguna Woods, CA 92637
Click here for driving directions and
Tel: (949) 586-3200
Fax: (949) 900-2158
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When you come for your appointment please remember to obtain and bring the following:
- Drivers License or a valid ID
- Insurance information
- Referral Letter (if required)
- Reports, X-rays, MRI's. CT scans etc and any other relevant information
- List of medications (if any)
If you need to cancel an appointment
the office during business hours and allow at least 1 day's notice so
that we can offer your appointment time to patients on our waiting list.
recognize that your time is valuable, and we make every effort to run
on time. Occasionally emergencies or patients require a little more
time, and these cause scheduling delays beyond our control. We
apologize if we keep you waiting.
A Message To Our Patients About Arbitration
The attached contract is an arbitration agreement. By signing this agreement we are agreeing that any dispute arising our of the medical services your receive is to be resolved in binding arbitration rather than a suit in court. Lawsuits are something that no one anticipates and everyone hopes to avoid. We believe that the method of resolving disputes by arbitration in one of the fairest systems for both patients and physicians. Arbitration agreements between health care providers and their patients have long been recognized and approved by California courts.
By signing this agreement you are changing the place where your claim will be presented. You can still call witness and present evidence. Each party selects an arbitrator (party arbitrators), who then selects a third, neutral arbitrator. These three arbitrators hear the case. This agreement generally helps to limit the legal costs for both patients and physicians. This is because the time it takes to conduct an arbitration hearing is far less than for a jury trial further, both parties are spared some of the rigors of trial and the publicity which may accompany judicial proceedings.
Our goal, of course, is to provide medical care in such a way as to avoid any such dispute. We know that most problems begin with communication. Therefore, if you have any questions about your care, please ask us.
South County Orthopedic Specialists, A.P.C.
Your First Visit
We will attempt to verify coverage with your insurance company prior to your first appointment. This will hopefully, eliminate any surprises concerning your personal responsibility for payment. To assist in providing the most appropriate treatment and to eliminate unnecessary visits, you should bring the following information to your first visit.
- History of your present problem or injury, including date and circumstances of onset
- Records of other treatment you have received for this condition, including films (the actual x-rays) and reports for any x-rays or diagnostic tests (CT, NM, bone scan, EMG and nerve conduction studies, etc.)
- The name, address and telephone number of your primary care physician and /or referring physician
- Your insurance cards and information; name of company, address, policy and/or claim numbers and subscriber's name; any authorizations from your insurance company
- Information concerning your insurance company's requirements on preadmission certification and second opinions
- If your condition is work-related, a copy of the report
We participate with many PPO'S, workers' compensation carriers, private insurance's and Monarch HealthCare.
We accept Medicare Assignment.
We will file claims for all services covered under these plans. You will be asked to pay for any non-covered services, co-payments or deductibles at the time of your visit. For non-contracted insurance plans, we will ask for payment of routine services at the time of your visit.
For non-contracted insurance plans, we will ask for payment of routine services at the time of your visit. We accept ATM debit cards; cash; personal check; Discover, Master, or Visa credit cards. When you make payment, you will be given a complete and accurate statement that you may file with your insurance company for reimbursement.
For contracted insurance plans, we will file a claim with your insurance company for any fees related to care, surgery, or hospital services. Payment of balances remaining after the insurance company's payment is your responsibility.
Billing Error Disclaimer
This office is required by federal compliance laws to report services provided by South County Orthopedic Specialists based on documentation in the medical record. As a policy, we cannot improperly alter a claim for the purpose of obtaining payment. If you discover a bona fide billing error, duplicate charge or other posting errors, we welcome you to bring the matter to the attention of our business office staff for investigation and proper corrective action.
As you may know, coverage and payment amounts vary greatly by payer (i.e., insurance company). If you have questions about your particular coverage, it is best to check with the benefits representative at your company. Our staff will be happy to assist you in claims filing for prompt adjudication and payment of your insurance claim.
We do not accept lien cases or new patient personal injury cases involved in litigation. Should you have a personal injury which ultimately requires that you obtain an attorney to represent you, we will be happy to provide your attorney with copies of your medical records through a copy service. We do not provide narrative medical-legal reports, depositions or court testimony.
Neither initial nor refills of medications will be prescribed after business hours.
After Hours Process
On-call coverage is provided 24/7, including weekends and holidays.