Insurance

We serve on a wide variety of insurance plans in addition to self-payment options; but we aim to serve you! Please click here for a list of plans on which we currently serve or contact one of our offices if you do not have insurance or your plan is not listed. Please bring all insurance information, including insurance cards, when you come to your appointment. Many medical insurance companies require pre-authorization for medical services. Please consult with your insurance company or primary care physician to obtain a pre-authorization, if required, prior to the date of your appointment.

We love seeing new faces! The M.I.N.D. offers a range of services and accepts most insurances. If you have already made an appointment with one of our friendly offices, you can find additional resources such as new patient paperwork and our HIPAA release to authorize our use and disclosure of your private medical records.

Please use the link below to access our new patient documentation. Please print and completely fill out and sign the forms and bring with you to your visit. The form can also be used to notify us of any changes to your contact information. 

We ask that you arrive 10-15 minutes before your scheduled appointment time to check-in, pay your copay or prior balance, as well as complete other administrative necessities. You will be asked to fill out a medication list as well as the new patient paperwork. In the room, one of our staff members will collect necessary vitals and the doctor will be sent in for your comprehensive assessment. Please note that once the doctor enters the exam room your exam has begun and no refunds will issued for any reason. 

Existing patients can sign up for access to www.patientfusion.com  Please know that any issues with PatientFusion should be directed to their help team. Additionally, you may request a copy of your records in writing via mail, fax, or email to records@malkainstitute.net. Physical copies may be subject to a copy fee which will be disclosed to you prior to the copies being made.

If you have any changes including name change, change of address, phone number, email address, or insurance, please contact our office immediately so we can update your information. Contact information can also be updated through your PatientFusion account. Ensuring that your information is up to date is always your own responsibility. 

Please arrive at least 15 minutes before your appointment time to complete any necessary check in paperwork, pay your copay, or any prior balance, and any other administrative necessities. 

For all testing, please follow the specific instructions provided at your confirmation call including arriving for EEG testing with clean, dry hair with no product, avoiding caffeine the morning of your appointment, avoiding lotions and creams on your test areas for nerve conduction velocity (NCV) testing. Any questions should be directly relayed to your testing office. 

We try to make getting your refills fast and easy. You may request refills in a number of ways:

• Call our office directly and request your medication(s) be refilled 
• Call your pharmacy and have them fax us a refill request
• Download and complete the Prescription Refill Request form and fax, mail, or email   to office@malkainstitute.net 

It is the full responsibility of the patient to monitor and manage their medications. Always consider processing time and potential delays for all requests. For this reason we ask that you monitor your medications closely and request a refill when you have no less than ten (10) days of medication remaining. Last-minute refills are subject to the same processing time and potential delays but will be expedited wherever possible.

The M.I.N.D. offers various pre-paid services including form completion, IME, miscellaneous time needs, and narrative reports. These services vary in price and must be paid in full before the service will be performed. All forms, fees, opinions, and otherwise are non-refundable and non-negotiable. 

Non-payment will result in delay of the service being performed and stop payments or contested payments will be subject to the dishonored payment fee schedule and may result in collections and legal ramification for which you are 100% responsible.

Any reschedule or cancellation will be subject to reschedule/cancellation fee which is determined based on the amount of notice provided to us before the scheduled service is to be performed. 

All patients receive a phone call reminding them of their appointment 48 hours before their scheduled appointment. If we cannot reach you, we will leave a voicemail and try again 24 hours before your scheduled appointment. Any unconfirmed appointments may be automatically cancelled and charged a $50.00 service fee to allow patients on our waiting list the opportunity to come in sooner. Cancellations and reschedules made within 24 hours of your appointment are also subject to a service fee. Should a service fee be charged to you, it must be paid in full before your next scheduled appointment. 

If for any reason you must cancel or reschedule your appointment, please directly notify one of our offices no later than 24 hours before your scheduled appointment. It is the patient's and/or case manager/adjuster's responsibility to directly contact our office for any and all scheduling needs. A service fee of $50.00 will be charged for all missed appointments or appointments cancelled/rescheduled outside of the 24 hour time window and must be paid in full before rescheduling.

Any and all dishonored payments are subject to applicable fees according to the following schedule: 

• $25 fee for dishonored payment less than or equal to $50 
• $30 fee for dishonored payments $50.01-$300
• $40 fee for dishonored payments $300.01-799.99
• Dishonored payments greater than $800 subject to fee 5% of the dishonored payment

If payment is not received within 15 days of notice a $40 late fee will also be applied with additional late fees per day for 15 days. Non-payment will result in collection activity and/or legal ramification for which you are 100% responsible. 

All co-pays, deductibles, prior balances, and other fees are due at the time of check-in via cash, card, or money order only. Card payments are subject to an additional processing fee of 3% which does not exceed the fee amount charged to us. Checks are no longer accepted at any location nor by mail. Mailed checks will not be processed. If for any reason you are unable to pay, please advise our front office staff and they will be able to assist you. 

For information on prior balances or other billing questions, please call our billing department at 727-862-1135 for assistance.