New Patient History Form
Insurance Information
Managed Health Care Affiliations
- PHCS/Multiplan
- Blue Cross/Blue Shield
- PPO
- Cigna
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- HMO
- POS
- PPO
- Gilsbar 360 Alliance
- Fara/Bestcare
- Beech Street
- Worker’s Compensation
- Medicare
- Medicare Replacement PFFS Plans
- Medicaid (Secondary only)
- Office of Group Benefits
- PPO Plus
- United Healthcare
- All Plans
Premier Pain Center accepts different methods of reimbursement. As a courtesy, we will file a claim with the insurance carrier for pain management services. The patient is responsible to pay their deductibles, co-pays and co-insurance according to their contract with their carrier. Some carriers require that services be pre-certified before they are paid. If a patient does not have insurance, payment is due at the time services are rendered.
For more information about insurance and payment methods, please contact us.