Insurance & Billing

There are a number of separate charges associated with your surgical procedure.  You may receive charges from several companies.

  • Your TiOS Surgeon
  • Assistant Surgeons when applicable
  • The Hospital or Facility where your surgery was performed
  • Anesthesia
  • Pathology – services for tissue specimens removed during surgery requiring further examination.
  • Home Health when applicable

Full payment is due prior to surgery.  Please contact your insurance company directly if you experience any delays. You are responsible for guaranteeing payment on your account and for being aware of your individual policy restrictions and benefits.

Your insurance company, including Worker’s Compensation, auto (no fault) and personal injury, is legally your responsibility.  Our relationship is with you, our patient, not your insurance company.  Consequently, all charges incurred are your responsibility.  The obligation to assure payment in a timely manner lies with you, regardless of what your insurance company chooses to do.  You should receive a response from your insurance company within 30 days of your date of service.  If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment. 

Texas Institute of Orthopedic Surgery & Sports Medicine (TiOS)’s policy is to turn over to an attorney or collection agency all delinquent accounts.  You will be responsible for any collection fees that are incurred. We utilize Transworld Systems, Inc. as our collection agency.

Phone: 817-421-0505
Fax: 817-421-6060

Billing/Collections

The Texas Institute of Orthopedic Surgery & Sports Medicine (TiOS) WILL BILL AS FOLLOWS:

PRIVATE INSURANCE
Your co-pay, deductible and co-insurance amounts are due on or before your date of service.  As a courtesy, we will submit your bill directly to your private insurance company.  A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance.  If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company.  We must make a copy of each insurance card at the time of registration.

MEDICARE
Your co-pay, deductible and co-insurance amounts are due on or before your date of service.  As a courtesy, we will submit your bill directly to Medicare.  A bill will be sent to your secondary insurance upon receipt of final reimbursement notification from your primary insurance.  If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company.  We must make a copy of each insurance card at the time of registration.

WORKERS-COMPENSATION

SELF PAY
You will be contacted regarding an estimated procedure cost prior to your surgery.  You will be expected to pay this amount on or before your date of service.  Should there be additional charges, you will receive a statement for those charges.

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Network Insurance

Network Insurance

  • Aetna
  • BCBS – ALL States
  • HMO BLUE
  • Cigna
  • Coventry Health
  • First Health
  • Galaxy Health Network
  • HealthSmart
  • Humana
  • IMS PPO
  • Medicare Replacement/Supplements- ACCEPTING ALL PROVIDERS
    • Aetna Signature Aetna Medicare – HMO/PPO
    • BCBS Medicare
    • UHC Medicare Advantage Plans WellMed, NTSP Silverback, Secure Horizons, Etc.
  • PHCS / MULTIPLAN
  • SmartCare
  • United Healthcare

Workers’ Compensation

  • PHCS / MultiPlan
  • Cynergy
  • All Non-Network Carriers