Patient Information & Forms
Patient Information
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What to bring Appointments Appointment Cancellation Office Hours HIPPA Disclosure |
Credit Policy Insurance Privacy Practices Map & Directions |
Patient Forms
Please click the link and fill out forms and submit online before your appointment.
What to Bring
- Photo ID
- Your insurance card
- Physician referral forms if required by insurance
- A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
- Pertinent information about your medical and surgical history
- Script from referring doctor
- Any report from a CT scan, MRI or Nerve Conduction Study you may have related to your current problem
Appointments
You may schedule an appointment by calling our receptionist at the number listed below:
636-537-0525
Please arrive 30 minutes prior to your appointment to check in.
Although we try our best to stay on schedule, unexpected delays do sometimes occur, as our doctors spend whatever time is necessary with each patient. If we are seriously delayed, we will try to notify you beforehand, if possible. We ask your patience if you have to wait; we know your time is valuable.
Appointment Confirmations
Our office has implemented an automated confirmation and recall system. You will be contacted the day prior to your scheduled appointment. You will be given (2) options to choose from. Please listen closely so the system gets your correct response.
The options are as follows:
- Press 1 for yes. This sends the message to our office that you have confirmed your appointment.
- Press 2 for no. This sends a message to our office that you want to cancel your appointment. Please note that you must call the office during regular business hours to reschedule your appointment.
Appointment Cancellation
If you are unable to keep your appointment or are going to be late, please call the office as soon as possible. This courtesy allows us to be of service to other patients who are in need of our care.
Office Hours
Monday 8:00am - 4:00pm
Tuesday 8:00am - 4:00pm
Wednesday 8:00am - 4:00pm
Thursday 8:00am - 4:00pm
Friday 8:00am - 2:00pm
Credit Policy
We hope you understand that our credit and collection policies are a necessary part of assuring the financial resources needed to maintain our practice.
Co-pays for medical services are due and payable at the time services are rendered. In the event that other arrangements are made beforehand, a bill will be sent to you with payment due upon receipt of the bill.
We are pleased to assist you in the preparation of your insurance claim form. If you have a health insurance plan other than those in which we participate, please understand your health insurance policy is an agreement between you and your health insurance company. Your doctor's bill is an agreement between you and your doctor. You are responsible for payment of the bill regardless of the status of your insurance claim.
If circumstances should make it impossible for you to meet our credit term, we invite you to call or personally discuss this matter with our business staff. This will avoid misunderstandings and enable you to keep your account in good standing. Except when hardship warrants otherwise, past due accounts are referred to a collection agency.
If you have any questions, please contact our office.
Insurance
Neurological & Electrodiagnostic Institute Inc. of St. Louis is a participating provider with the following insurances:
- Aetna
- Anthem BC/BS
- Cigna
- Healthlink
- Humana
- Medicare
- United Healthcare
- Workers' Compensation
This represents a partial listing of the major payer plans NEI is contracted with and may change from time to time. Please call with any questions regarding plans not listed.
At the time of visit you must have a properly prepared referral from your primary care physician if required by your insurance plan. Failure to bring a referral form can result in your being financially responsible for all services provided. You are also responsible for the appropriate co-payment and/or deductible as specified by your insurance plan. Co-payments must be paid at time of service.
If co-payment and amounts are not paid at the time of service we charge a $10 billing fee. This fee will be waived if payment is made within three business days.
If you have insurance other than those listed above, payment is requested at time of service. If this is not possible please call our billing staff to discuss payment arrangements. We will be happy to submit the claim to your insurance carrier for you to expedite your reimbursement.
Please notify us of any changes in address, telephone number, or insurance coverage.
Privacy Practices
Notice of Privacy Practices for Neurological & Electrodiagnostic Institute Inc. of St. Louis
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.