Partners In Internal Medicine
Financial Policy & Patient Responsibility Notice

We consider payment of services to be the responsibility of the patient in the patient-physician relationship. Therefore, we would like to explain our payment policy and patient responsibility expectations to you to ensure understanding and compliance.

Partners In Internal Medicine (PIIM) provides many different types of medical services within our practice. Many insurance carriers have their own specific criteria set for how frequently an exam, test or procedure can be performed in addition not paying for certain types of services such as routine physicals or routine/screening testing i.e. blood work, ear lavage, and bone density etc. Consequently, it is impossible for PIIM to know all of the many different employer group benefits from one employer to the next. Therefore, PIIM cannot be held responsible for knowing what services are covered by the patient's insurance health plan and is not be responsible for informing the patient whether a particular service is covered or not. Although our staff will make every effort to try to assist you in understanding your health benefits or supply you with other health plan related resources.

For those insurances we do participate with, we will file on your behalf directly to the insurance carrier for payment: Insurance co-payments, coinsurance, deductibles, and non-covered services are expected to be paid at the time of service. Partners In Internal Medicine (PIIM) accepts cash, check, Visa and MasterCard, in addition to setting up payment arrangements.

There are several commercial insurance plans that we do not participate with. If you are covered by a commercial insurance plan, we will expect you to make full payment at the time of service/treatment. Upon receipt of payment in full from you, as a courtesy, we will submit your claim to your insurance carrier and request that full payment to be sent directly to you (the patient). If you are unable to make full payment, we will be unable to provide this courtesy to you.

Please note that you can set-up payment arrangements at any time, regardless of type of insurance, by speaking with our Billing Service Representatives (734) 622-9697 or email us at billing@piim.org. They can assist you with payment options that can meet your needs and the terms of this policy.

Additional Practice Related Fees:

•  $25.00 Fee = “NO SHOWS” (failure to provide cancellation notice) prior to his or her scheduled appointment.

•  $10.00 Fee = Request to complete Life, Disability, FMLA, & many other various types of independent health forms. (Effective January, 2006).

•  $35.00 Fee = returned checks for non-sufficient funds, which is a charged back processing fee to the patient. We will be unable to accept any personal checks until account balance and associated services fees are paid in full. If this is a repeated occurrence, we will only be able to accept cash or credit card as method of payment.