INSURANCE & OFFICE POLICIES
Emergency Coverage
In case of emergency, go to your local hospital emergency room, the crisis unit of your local Mental Health Center, or dial 911. Please be advised, our office does NOT handle urgent or emergency care and we do not check messages after hours or on weekends.
Insurance Coverage
Dr. Mangum is NOT a listed provider with any insurance company.
Some insurance companies, however, do cover our services as an Out-of-Network provider. We will generate a “Super Bill” receipt at the end of your visit, which you can send to your insurance company for possible reimbursement. This Super Bill can also be kept as proof of services for those who pay with an HSA and for those who kept track of their medical expenses for tax purposes.
If you have insurance coverage your first step is to determine whether your plan has any Out-of-Network benefits. If you are uncertain, we strongly advise you to call your insurance company prior to your visit to find out more. When you call your insurance company please tell them the following:
As a courtesy, our office provides copies of the patient check-out sheet, lab results and Super Bill when you check out. Please create a file and keep track of all these copies from our office as there will be a charge for duplicates. Remember, your insurance coverage is a contract between you and your insurance carrier. If your insurance company requests additional information from our office to process your claim you will be responsible for additional fees. The cost for both processing the insurance claims and creating duplicates will be dependent upon the time required as per our Convenience Fees.
Medicare or Medicade
Dr. Mangum is NOT a provider for Medicare or Medicade, therefore, you cannot submit a Super Bill to them or to your supplemental insurance if you have one. Medicare and Medicaid, however, often cover some blood work and other labs ordered by our office. Medicare/Medicaid patients must sign an ABN (Advanced Beneficiary Notice of Non-coverage) in addition to this contract.
Lab Work Information
If you have insurance it is essential to determine what lab is In-Network or preferred by your insurance company PRIOR to your visit with Dr. Mangum. It is also important to determine the amount of your deductible, if your plan covers labs before or after your deductible is met and whether you have a co-insurance or a co-pay, and what that amount is. You may need to call your insurance company to find out all this specific information; our office cannot answer these questions for you. Finding out this information ahead of time can potentially save you a significant amount of time and money.
For patients without insurance or those who have high deductibles, we recommend using the pre-paid option for blood work available through our office which can result in substantial savings for you. The cost for these labs will vary based on which labs are ordered. If you opt to use the pre-pay system, we will tell you the cost of your labs at checkout. You will be expected to pay for these labs prior to receiving the lab requisition. (If you have a phone appointment, lab requisitions will be held until payment has been received.) Pre-paid labs are NOT eligible for reimbursement by insurance companies.
Phone Message Policy
While we do our best to answer every call, with an extremely busy office, patients often need to leave a voicemail message. It may take 1-2 business days for us to get back to you. Do NOT leave multiple messages. Multiple messages from the same patient bog down our system and delay our ability to promptly respond even further.
Fees and Billing
Our payment policy is Fee-for Service. Payment in full is due at the time of your visit.
Fee Schedule:
Comprehensive New Patient Consultation — $450/90 minutes
Comprehensive Follow Up Consultation — $200/31-45 minutes
Follow-Up Consultation — $115/11-15 minutes
Follow-Up Consultation — $155/16-30 minutes
Extended Comprehensive Follow-Up — $250/46-60 minutes
Extended Comprehensive Follow-Up — $300/61-75 minutes
Extended Comprehensive Follow-Up — $350/76-90 minutes
New Patient Cannabis Card — $200/30-45 minutes
Established Patient Cannabis Card Renewal -- $150/15-45 minutes
If you are scheduled for a 45-minute follow-up appointment, but only use 15 or 30 minutes, you only be charged for the time spent with the doctor. This same policy applies to all appointments. The converse is also true. If you schedule a 15-minute follow-up appointment, but spend more than 15 minutes with the doctor, you will be charged for the 30-minute appointment.
NOTE: A credit card is required at the time an appointment is made. This card will be charged for missed appointments based on our Cancellation & Late Arrival Policy. The reason for this is to ensure patients call and notify our office of cancellations in a timely fashion and to cover the expense of those who “no show.”
Cancellation & Late Arrival Policy
Please be aware, Dr. Mangum does not overbook or double book appointments. In order to fill and accommodate those on the waiting list, we would appreciate ample notification when rescheduling or canceling an appointment.
Emergency Coverage
In case of emergency, go to your local hospital emergency room, the crisis unit of your local Mental Health Center, or dial 911. Please be advised, our office does NOT handle urgent or emergency care and we do not check messages after hours or on weekends.
Insurance Coverage
Dr. Mangum is NOT a listed provider with any insurance company.
Some insurance companies, however, do cover our services as an Out-of-Network provider. We will generate a “Super Bill” receipt at the end of your visit, which you can send to your insurance company for possible reimbursement. This Super Bill can also be kept as proof of services for those who pay with an HSA and for those who kept track of their medical expenses for tax purposes.
If you have insurance coverage your first step is to determine whether your plan has any Out-of-Network benefits. If you are uncertain, we strongly advise you to call your insurance company prior to your visit to find out more. When you call your insurance company please tell them the following:
- You are coming in for a Comprehensive First Visit
- Dr. Mangum is an Out-of-Network Provider
- The billing code for the standard 90-minute visit is 99204
As a courtesy, our office provides copies of the patient check-out sheet, lab results and Super Bill when you check out. Please create a file and keep track of all these copies from our office as there will be a charge for duplicates. Remember, your insurance coverage is a contract between you and your insurance carrier. If your insurance company requests additional information from our office to process your claim you will be responsible for additional fees. The cost for both processing the insurance claims and creating duplicates will be dependent upon the time required as per our Convenience Fees.
Medicare or Medicade
Dr. Mangum is NOT a provider for Medicare or Medicade, therefore, you cannot submit a Super Bill to them or to your supplemental insurance if you have one. Medicare and Medicaid, however, often cover some blood work and other labs ordered by our office. Medicare/Medicaid patients must sign an ABN (Advanced Beneficiary Notice of Non-coverage) in addition to this contract.
Lab Work Information
If you have insurance it is essential to determine what lab is In-Network or preferred by your insurance company PRIOR to your visit with Dr. Mangum. It is also important to determine the amount of your deductible, if your plan covers labs before or after your deductible is met and whether you have a co-insurance or a co-pay, and what that amount is. You may need to call your insurance company to find out all this specific information; our office cannot answer these questions for you. Finding out this information ahead of time can potentially save you a significant amount of time and money.
For patients without insurance or those who have high deductibles, we recommend using the pre-paid option for blood work available through our office which can result in substantial savings for you. The cost for these labs will vary based on which labs are ordered. If you opt to use the pre-pay system, we will tell you the cost of your labs at checkout. You will be expected to pay for these labs prior to receiving the lab requisition. (If you have a phone appointment, lab requisitions will be held until payment has been received.) Pre-paid labs are NOT eligible for reimbursement by insurance companies.
Phone Message Policy
While we do our best to answer every call, with an extremely busy office, patients often need to leave a voicemail message. It may take 1-2 business days for us to get back to you. Do NOT leave multiple messages. Multiple messages from the same patient bog down our system and delay our ability to promptly respond even further.
Fees and Billing
Our payment policy is Fee-for Service. Payment in full is due at the time of your visit.
Fee Schedule:
Comprehensive New Patient Consultation — $450/90 minutes
Comprehensive Follow Up Consultation — $200/31-45 minutes
Follow-Up Consultation — $115/11-15 minutes
Follow-Up Consultation — $155/16-30 minutes
Extended Comprehensive Follow-Up — $250/46-60 minutes
Extended Comprehensive Follow-Up — $300/61-75 minutes
Extended Comprehensive Follow-Up — $350/76-90 minutes
New Patient Cannabis Card — $200/30-45 minutes
Established Patient Cannabis Card Renewal -- $150/15-45 minutes
If you are scheduled for a 45-minute follow-up appointment, but only use 15 or 30 minutes, you only be charged for the time spent with the doctor. This same policy applies to all appointments. The converse is also true. If you schedule a 15-minute follow-up appointment, but spend more than 15 minutes with the doctor, you will be charged for the 30-minute appointment.
NOTE: A credit card is required at the time an appointment is made. This card will be charged for missed appointments based on our Cancellation & Late Arrival Policy. The reason for this is to ensure patients call and notify our office of cancellations in a timely fashion and to cover the expense of those who “no show.”
Cancellation & Late Arrival Policy
Please be aware, Dr. Mangum does not overbook or double book appointments. In order to fill and accommodate those on the waiting list, we would appreciate ample notification when rescheduling or canceling an appointment.
PLEASE BE ADVISED:
“Sufficient Notice” of appointment cancellation is 24 hours or more = NO charge.
No shows will be billed 100%.
Patients arriving fifteen (15) minutes or more late to their appointment,
will be considered a “no show” and billed at 100%.
The fifteen-minute rule applies even if you call to let the office know you are running late.
It is not possible for the doctor to cover everything required in a shortened appointment..
Our Cancellation & Late arrival Policy applies to all patients, including first time patient visits.
*** This Policy applies, regardless of the reason for your cancellation. ***
“Sufficient Notice” of appointment cancellation is 24 hours or more = NO charge.
No shows will be billed 100%.
Patients arriving fifteen (15) minutes or more late to their appointment,
will be considered a “no show” and billed at 100%.
The fifteen-minute rule applies even if you call to let the office know you are running late.
It is not possible for the doctor to cover everything required in a shortened appointment..
Our Cancellation & Late arrival Policy applies to all patients, including first time patient visits.
*** This Policy applies, regardless of the reason for your cancellation. ***
Additional Costs
Additional costs during your visit may include items available in our Supplement & Herbal Pharmacy (such as: vitamins, nutritional supplements, Chinese and Western herbs) and lab fees if choosing the pre-pay option. These items are not reimbursable by insurance, but an HSA or flex-spending account may be used to cover the cost of these expenses, in addition to the cost of your visit. This receipt can also be kept to track medical expenses for tax purposes.
Costs beyond the first appointment may include: additional supplements purchased from our online partners or your favorite health food or high-quality supplement retailer, and any lab tests that will be paid for at the time they are completed such as saliva, stool, urine or hair analysis.
Phone Appointments
Phone appointments are available for follow-up consultations for out-of-town patients or in special circumstances. Phone appointments are made like regular appointments and will be billed at the same fee schedule as above. For phone appointments, we will call you at your scheduled appointment time. If it’s long distance, we will then hang up and you will call our office back. NOTE: You will need to provide a credit card number prior to your phone appointment, which will be charged following your appointment. Our Cancellation & Late Policy apply to phone appointments as well.
Convenience Fees
**These fees apply whenever a patient calls, emails or shows up at the office with a question outside of a scheduled appointment.** The cost for this is $40 for five (5) minutes or less, $80 for ten (10) minutes or less and $120 for fifteen (15) minutes or less. This covers time required by the doctor and staff to review charts or records, make an assessment, answer questions, complete forms, change a prescription, etc. The convenience fee can save you from having to come in when you may require only slight adjustments and may also allow something to be completed sooner than an appointment may be available.
Confidentiality
Professional ethics as well as the laws of the State of Utah require that we honor your right to privacy and the confidentiality of our work together. We will not provide information about you to others without your informed consent and written permission. We are, however, required by law, to report clear and present danger to human life and any form of child abuse. You will also be given a HIPPA form that must also be signed.
Additional costs during your visit may include items available in our Supplement & Herbal Pharmacy (such as: vitamins, nutritional supplements, Chinese and Western herbs) and lab fees if choosing the pre-pay option. These items are not reimbursable by insurance, but an HSA or flex-spending account may be used to cover the cost of these expenses, in addition to the cost of your visit. This receipt can also be kept to track medical expenses for tax purposes.
Costs beyond the first appointment may include: additional supplements purchased from our online partners or your favorite health food or high-quality supplement retailer, and any lab tests that will be paid for at the time they are completed such as saliva, stool, urine or hair analysis.
Phone Appointments
Phone appointments are available for follow-up consultations for out-of-town patients or in special circumstances. Phone appointments are made like regular appointments and will be billed at the same fee schedule as above. For phone appointments, we will call you at your scheduled appointment time. If it’s long distance, we will then hang up and you will call our office back. NOTE: You will need to provide a credit card number prior to your phone appointment, which will be charged following your appointment. Our Cancellation & Late Policy apply to phone appointments as well.
Convenience Fees
**These fees apply whenever a patient calls, emails or shows up at the office with a question outside of a scheduled appointment.** The cost for this is $40 for five (5) minutes or less, $80 for ten (10) minutes or less and $120 for fifteen (15) minutes or less. This covers time required by the doctor and staff to review charts or records, make an assessment, answer questions, complete forms, change a prescription, etc. The convenience fee can save you from having to come in when you may require only slight adjustments and may also allow something to be completed sooner than an appointment may be available.
Confidentiality
Professional ethics as well as the laws of the State of Utah require that we honor your right to privacy and the confidentiality of our work together. We will not provide information about you to others without your informed consent and written permission. We are, however, required by law, to report clear and present danger to human life and any form of child abuse. You will also be given a HIPPA form that must also be signed.
We value you as our patient and
look forward to serving you in your journey towards wellness.