Appointment Policies

Policies

Thank you for choosing Renaissance Health and Surgical Associates for your healthcare needs. Our patients deserve excellent medical care and we work diligently to provide that care to each patient. Below is patient information to help you prepare for your visit with us.

Make an Appointment

We do accept new patients. To schedule an appointment or for questions about patient information, call (423) 837-5801.
We ask that you please arrive 10-15 minutes prior to your scheduled appointment. Please bring the following:

• Your current health insurance information - to ensure accurate and appropriate billing of your health care services
• Your current Photo ID
• Any medications you are currently taking in their original containers

Patients who arrive more than 15 minutes late for their appointment may be asked to reschedule their appointment. Patients who no show or cancel their appointment with less than 24 hours' notice, will be subject to a $30 fee, not for any service, but for the lost opportunity to see another patient.

Patient Registration

During your visit, you may be asked to fill out registration forms. You may choose to pre-register by downloading, printing and completing the forms below. Just bring them to your visit. Completing the forms prior to your visit will help speed up the patient registration process.

• New/Established Patient Information


• Health Information/Review of Systems


• Medication List


• Patient Registration Forms/HIPAA


• Authorization to Release Health Information


• Office Visit

Accepted insurances

Renaissance Health and Surgical Associates accepts many commercial, Medicare, and healthcare exchange insurance plans. If your insurance coverage includes co-pays, we will request payment at the time of your visit. Be sure to inform us if your insurance coverage changes in any way. Please visit our insurance coverage page for more detailed insurance information.

The balance remaining, after your insurance has paid, results from any unpaid copayments, coinsurance, or unmet deductibles according to your benefit plan with your health insurance carrier. Please contact your health insurance carrier directly if you have questions about the health services that your insurance plan may or may not cover, or about any amount that they show as your patient responsibility. When an account balance becomes the responsibility of the patient, that balance is due from the patient on the due date shown on the first account statement thereafter from Renaissance Health and Surgical Associates. If any part of the patient account balance becomes delinquent, then the account balance may be forwarded to an outside agency for collection.

It is our responsibility to ensure that the healthcare coding and billing that we submit to you, or to your insurance carrier, accurately reflects the services that were provided to you during your visit with our provider. We are very careful to follow all federal, state, and local coding and billing rules and guidelines. For questions regarding your bill, please contact our Billing Department at (423) 837-5801. The Billing Department is open Monday-Thursday from 8:00 am to 4:00pm.

You may have medical services ordered by your Renaissance Health and Surgical Associates healthcare provider which are completed by other medical facilities. The group completing the testing will bill you and your insurance separately from Renaissance Health and Surgical Associates. If you have questions about the billing from other medical facilities, please contact the specific medical facility.

© Published in 2018 by Arden Azar
Property of Renaissance Health and Surgical Associates

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