We try to see all patients on an appointment basis. We request that you call in advance so that we can reserve time for you. The office telephone number is (718) 622 2042. We make every effort to honor all time commitments and request that you extend that same courtesy. On occasions, emergencies can cause problems and whenever possible, you will be fully informed if there will be any delays. Walk-ins and same day appointments will be accommodated as the schedule allows. We look forward to seeing you.
No Show & Late Cancellation
Our policy is to charge for missed appointments and failure to cancel 24 hours in advance. All appointments must be canceled by midnight of the previous day to avoid charges for no-show or late cancellation. After-hour messages regarding cancellations may be left on our messaging service at 718-622-2042. A $25.00 no show/late cancellation fee will be billed directly to you the patient. Your insurance will not cover charges for no-show/late cancellation. The no show/late cancellation fee must be paid prior to receiving additional service through our practice. If you fail to keep an appointment due to unforeseen circumstances, please discuss this with our billing department.
No Fault/Motor Vehicle Accidents
All new patients must complete the No Fault Insurance form before receiving any services through our practice. . A copy of this form can be obtained from our office or can be downloaded from our Patient Portal. If you are receiving treatment as a result of a Motor Vehicle Accident, you are responsible for paying all costs of treatment not reimbursed by your Personal Injury Protection (PIP) coverage. If your motor vehicle accident claim is in dispute, all costs are due at the time of service.
Workers Compensation (WC)
If you are receiving treatment for a work injury we will bill your workers compensation carrier. If your claim is denied, you may become responsible for the medical costs of treatment for your illness or condition with Dr Moore and Associates if;
(1) you fail to prosecute the claim for workers' compensation.
(2) it is determined by the Workers' Compensation Board that the illness or condition which required
treatment was not a result of a compensable workplace accident or occupational disease.
(3) if an agreement is executed by you and approved pursuant to Workers' Compensation Law in which
you waive your right to medical benefits from the workers' compensation carrier/self-insured employer
for treatment/services performed after the date the agreement is approved.
If any of the above events occurs, we will bill you directly instead of the employer or insurance carrier, and you will be responsible for the provider's fees for services rendered. You will be required to pay all amounts due within 60 days.
All patients must also provide the following information:
- Workers Compensation Carrier Case Number
- Name, address and telephone number of insurance company
- Name, address and telephone number of employer.