Performance Orthopedics

First Time Patients

Insurance

Performance Orthopedics is currently in the process of credentialing with both Medicare and most commercial insurance providers. New Insurance plans are being added daily. Please call the office to schedule your appointment, and we will be happy to review your plan benefits for you.

Here at Performance Orthopedics, we have a history of working with most insurance plans, please contact us to begin your insurance verification process. Through our partnership with AthenaHealth, we will obtain your insurance policy information and contact your provider to verify your benefits. In most cases this can be done quickly and electronically.

Once your benefits have been confirmed, a Performance Orthopedics representative will review the details of your coverage levels quoted by your insurance plan, along with other aspects of your plan, including:
• In-network and out-of-network benefits (including inpatient and outpatient benefits your plan covers)
• Any deductible for which you may be responsible
• Percentage of coverage the plan pays after deductible has been met
• Any co-pay amount for which you may be responsible

Forms

Performance Orthopedics through its partnership with AthenaHealth is moving towards the goal of a paperless office. Forms are available here for your review and use, should you choose to download and bring information to your appointment. Once you are a registered patient, you will be given access to the practice’s Patient Portal which will enable you to submit and review most information electronically and securely online.

HEALTH HISTORY FORM This form covers important information regarding the reason for your visit, it’s history, as well as important past medical and surgical history.
Download PDF
PRIVACY NOTICEThis form explains how Performance Orthopedics protects your important and sensitive financial and medical information.
Download PDF
BILLING INFORMATION/ASSIGNMENT OF BENEFIT These forms allow the practice to bill your insurance for your care.
Download PDF 1Download PDF 2

ADA- ANTI-DISCRIMINATION POLICY (Affordable Care Act Section 1557Download Policy PDF

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