Insurance & Pricing

Insurance & Pricing

Patient Responsibility and Insurance Guidelines at Dallas Orthopedic and Shoulder Institute

Dallas Orthopedic and Shoulder Institute is dedicated to making every effort to get payment from your insurance company. Please understand, it is the patients’ responsibility to keep the doctor’s office up to date with current insurance information and make them aware of any insurance changes. If proper notification is not made, the patient may be responsible for charges not covered at the time of service by the insurance company. If an insurance company requires a referral from the primary care physician, it is the patient’s responsibility to have this in place before the visit. The patient may receive a bill for the full charges of any items and services or have to pay out-of-network cost-sharing under their health plan if the above requirements are not met. If you are paying as a “self-pay” patient, please understand that amounts paid will not count toward your health plan’s deductible or out-of-pocket limit.

X-rays are done in-office by Northstar Imaging.

For questions about X-ray billing, please call 972-649-6460.

To follow up on the status of FMLA/Disability Forms, you may contact HealthMark at 972-895-2138 or email fmla@healthmark-group.com.

Insurances

We accept major insurances.

We are out-of-network or not accepting the following as primary:

  • Aetna Premier or Value

  • Allwell

  • Amerigroup

  • Anthem Blue HPN

  • BCBS Blue Advantage HMO (Accepted by Dr. Hariri)

  • Bright Health

  • Cigna TX Connect

  • Friday Health

  • Molina

  • Oscar Health

  • Superior Health

  • TriWest

  • Veteran Affairs (VA)

  • UHC Compass

  • Wellcare

  • Various Market Place plans

The following are ONLY accepted as secondary to an accepted primary insurance:

  • Amerigroup

  • Medicaid

  • Molina Superior

Patient Responsibility and Insurance Guidelines at Dallas Orthopedic and Shoulder

Institute

Dallas Orthopedic and Shoulder Institute is dedicated to making every effort to get payment from your insurance company. Please understand, it is the patients’ responsibility to keep the doctor’s office up to date with current insurance information and make them aware of any insurance changes. If proper notification is not made, the patient may be responsible for charges not covered at the time of service by the insurance company. If an insurance company requires a referral from the primary care physician, it is the patient’s responsibility to have this in place before the visit. The patient may receive a bill for the full charges of any items and services or have to pay out-of-network cost-sharing under their health plan if the above requirements are not met. If you are paying as a “self-pay” patient, please understand that amounts paid will not count toward your health plan’s deductible or out-of-pocket limit.

X-rays are done in-office by Northstar Imaging.

For questions about X-ray billing, please call 972-649-6460.

To follow up on the status of FMLA/Disability Forms, you may contact HealthMark at 972-895-2138 or email fmla@healthmark-group.com.

Accepted Insurances

Acceptable Insurances

Copyright 2023 Dallas Orthopedic and Shoulder Institute. All rights reserved

Copyright 2023 Dallas Orthopedic and Shoulder Institute. All rights reserved