How to Register

First, see below to see if we participate with your insurance.


Then, click on the blue button below and fill out the following forms on our secure portal:

1. Patient Registration Form

2. HIPAA and Billing Policies

3. Medical Questionnaire

4. Medical Review of Systems - Long

5. Pain Assessment Form


You may use the Contact Us form, but all of the above forms must be completed.  Once we receive the above 5 forms, a member of our staff will contact you within two business days. 

Insurance

We participate with Medicare and Tricare

We also accept...

all open Workers' Compensation and auto (personal injury) insurance claims - even from NY, NJ, or other states.

Commercial Insurance:

We can see you if you have out-of-network benefits.  Sadly, Obamacare makes it impossible to deliver quality medicine at the in-network rates for a specialist, and most pain care is subject to a huge deductible.  We can often arrive at fees that fall under the deductible. Please register online and our biller can explain.


We do not participate in any HMO plans

Medicaid Plan:

We do not accept any Medicaid plans (which includes PA Access, Geisinger, Highmark, AmeriHealth Products). 


However, under federal law these Medicaid plans must find you a specialist in 15 days or else they should provide an out of network referral, which they can fax to us. Please contact your insurance directly and ask them to provide you with an in-network specialist who has less than a 15 day wait and is not more than a 60 minute drive.  

 

Please see pages 23 and 24 of STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE