Billing & Insurance

At Cape Fear Orthopedics & Sports Medicine, our account specialists are available to assist you with your insurance and billing needs.

The following information is provided to assist you in contacting us and in understanding our billing and insurance policies and processes.

INSURANCE PLANS

At Cape Fear Orthopedics & Sports Medicine, we participate in most major insurance plans, which includes but is not limited to the following:

Medicare

Medicaid of NC

Tricare

Doctor’s Direct Healthcare

Medcost

BCBS of NC

Cigna

United Healthcare

Wellpath

State Employees Health Plan

Aetna

Please verify your eligibility for services with your insurance company prior to your appointment. If you have any questions regarding insurance and your healthcare coverage, please call your insurance provider, which is listed on the back of your insurance card or contact us to verify coverage prior to your appointment.

FEES AND PAYMENTS

We request payment arrangements for all office services at the time they are rendered unless prior arrangements have been made. If payment is not received, we reserve the right to refuse future appointments on delinquent accounts. If your account becomes past due, we will take necessary steps to collect this debt. All unpaid accounts for which payment arrangements have not been made are subject to collection procedures and additional collection costs.

CO-PAYMENT/CO-INSURANCE AND FILING CLAIMS

If we do not participate with your insurance plan, we will file your claim as a courtesy to you. Upon filing the claims, we request the insurance carrier pay Cape Fear Orthopedics & Sports Medicine directly. Once we receive payment or non-payment notice from your insurance carrier, any balance remaining will be billed directly to you.

We require co-payment or co-insurance payments at the time of service. We accept cash, check, debit card, VISA, MasterCard, and Discover. For your convenience, you may also pay your bill online through our website.

If your insurance requires authorization to be treated, please bring it with you to your appointment. If you do not have the necessary referral, we may need to reschedule your appointment.

SELF-INSURED (NO INSURANCE) PATIENTS

Patients who are not insured by an insurance plan/carrier will be required to pay for services at the time of your appointment.

FINANCIAL CONCERNS

If you are unable to pay large balances all at once, our staff would be happy to assist you with making financial payment arrangements prior to your appointment.

AUTHORIZATION

If your insurance requires authorization to be treated, please bring it with you to your appointment. If you do not have the necessary referral, we may need to reschedule your appointment.

REFUND POLICY

Refunds may be issued only after all benefit claims have been processed by the patient’s health insurance carrier. If you have overpaid your account, please call (910) 484-2171 ext. 509 to request a refund.

Patient Education

Here you will find helpful, comprehensive, and interactive patient education videos on a variety of orthopedic conditions, orthopedic surgical procedures, and associated treatment options.

These interactive patient videos are meant to provide a general, educational overview. Please understand that each situation is unique and no online content can replace one-on-one communication with your doctor.

If you have questions regarding an orthopedic injury, condition, or procedure after viewing the interactive patient education videos, please call Cape Fear Orthopedics & Sports Medicine at (910) 484-2171, and our staff will be happy to assist you.

Patient Portal

Prescriptions & Refills

At Cape Fear Orthopedics & Sports Medicine, we offer patients the convenience of ordering or refilling their prescriptions. New prescriptions and refills are only issued during normal business hours (Monday – Thursday, 8:00 a.m. – 5:00 p.m. and Friday, 8:00 a.m. – 12:30 p.m.).

Because your doctor is only in clinic two to three days per week, we ask that you please allow us a minimum of 72 hours to process your medication request. Please do not wait until you have run out of medication to request a refill. Certain narcotic prescriptions must be written by law, and therefore, will not be called into your pharmacy. Written prescriptions can be picked up any time during regular business hours. Please be prepared to show a photo ID when picking up prescriptions.

To order a new prescription or request a refill, please call (910) 484-2171 ext. 547 or visit our patient portal by clicking here.

What to Expect

Our team strives to achieve excellence in every aspect of the production process, from the preliminary hand-drawn sketches to the aftersales support. We carefully design our themes to be easy and flexible while making sure that most FAQ of our customers can be answered by our detailed documentation.

After you and your doctor decide that surgery is the best treatment for your condition or injury, you may have a multitude of questions and concerns.

Surgery is a major commitment because it affects your lifestyle for several weeks and sometimes months after surgery. Preparing for surgery can be overwhelming, but you can make it easier on yourself and on your family by being prepared and knowing what to expect.

Please use the links below to assist you in preparing for your orthopedic surgery.

For your convenience, you may download and print a PDF of all the information contained in the links on this page by clicking here.