Thursday, September 21, 2017
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Solutions to Back & Pain Care NEW! SpineMED Spinal Decompression

Patient Information

  Office Visits

Please plan to arrive with enough time before your appointment to complete the registration process. Upon arrival, please check in with the receptionist. Give him or her your name, your physician's name and the time of your appointment.

You will be called to the registration desk to verify your pre-registration information or to update your records. Please be prepared to give the following information:

  • Patient’s name, address, phone number and emergency contact
  • Responsible-party information
  • Insurance information including cards, which will be copied
  • Employer information for insurance verification
  • Date of last appointment

You will be called back to see the doctor as soon as an exam room becomes available.

After you have seen the doctor, please stop at the scheduling desk to schedule any tests or return appointments. From there you will be directed to the cashier’s desk. Payment is expected at the time of services. Cash, personal checks, Visa, MasterCard, Discover and American Express are accepted. If your insurance plan is one that we contract with or is a government plan, we will file the claim with your primary and secondary insurance plan. If we are not in contract with your plan, you will be given a copy of an itemized bill that you should attach to your own insurance form to file with your insurance company.

If you are a member of an HMO plan, please remember that you must have a referral form from your primary-care physician each time that you are seen. If you do not have this authorization form, you will be expected to pay for the services rendered at the time of your visit. If your insurance plan calls for a copayment for the services being provided, the copayment is expected at the time of service.

 Nursing Services

Your physician’s nurse will give you her name and telephone number at the time of your office visit. She will be your contact person for questions regarding your care and treatment and for prescription refills.

Your physician’s nurse will be happy to answer your questions or forward them to your physician if needed. If your nurse is not at her desk when you call, please leave a message for her on voicemail with the following information:

  • Your name (with the correct spelling)
  • Your telephone number
  • A short message (giving reason for your call)

She will return your call as soon as possible. After 4:30 p.m., we will only take emergency calls.

Routine prescriptions will be refilled only during normal office hours. Please make every effort to monitor your medications so that you do not run out of medicine after office hours or on weekends.
Your physician may not always be available after office hours. The physician on call may feel that he cannot order your medication for you if he is not familiar with your case.
Prescription refills may be obtained simply by asking your pharmacist to contact our office, or you may call the center between 8:30 a.m. and 4:30 p.m. Monday through Friday and speak with your physician’s nurse. Be prepared to give:
1. Your name
2. Name of your medication
3. The dose of your medication
4. How you are taking it
5. Prescription number
6. The name and phone number of your pharmacy
If your nurse is not at her desk, leave a message with this information on her voice mail.
Certain medications require written prescriptions and cannot be ordered by telephone.
Customarily, medications will not be refilled after normal office hours. If you feel it is an emergency, we encourage you to go to the hospital emergency room nearest you, have the physician there evaluate your situation and, if necessary, contact our physician on-call.  Emergency refills will only be made from the hospital pharmacy, and then only in a limited quantity.
 Patient Privacy

Our privacy and confidentiality promise to you:

  • We will take measures, within our offices and in our communications to you, to protect your privacy and the confidentiality of your medical records.
  • We will provide you with a Notice of our Privacy and Confidentiality Policies and Practices.
  • We will not release your protected health information to other parties for any reason other than your treatment, payment or health care operations without your prior authorization.
  • We will provide you with the means and opportunity to request copies of your medical records, request changes to your records, restrict use of your records or how we communicate with you, to make a report of any infractions of our policies or to state your complaint or concern.

Our HIPAA form is online. Please ask to be referred to our privacy officer should you need assistance with these matters.


The following is a list of current managed care contracts for NeuroSpine and Pain Center, subject to change without notice. Please contact your insurance company to confirm status before services are rendered or contact our billing office at 260.426.1618.

 In Network
• Aetna ** • Goshen Preferred **
• Anthem (most Anthem plans, call billing office for exceptions) • Signature Care **
• ChoiceCare ** • Physicians Health Plan (PHP)
• Cigna • Sagamore
• Corvel (Work Comp) • Three Rivers Medical Association (TRMA)
• Encore/Encircle • Advantage Preferred Plus (Medicare PPO)
• Indiana Health Network (IHN) • Lutheran Preferred (no surgery for CHS employees, injections only)
• Medicaid (IN, OH, out of state) ** • Three Rivers Preferred (Plus)
• Medical Mutual of Ohio (MMO/Consumers Life) • Tricare (Champus) **
• Medicare (IN, RailRoad) • United HealthCare (UHC)
• Parkview Health Plan Services ** • Work Comp IN, OH (requires approval from case manager, MCO)
• Frontpath **  
** NeuroSpine and Pain Surgery Center is out of network (no contract, refer to hospital)

Click here to read our insurance policy brochure.

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