Insurance & Billing
Insurance, Billing & Financial Guidance
Transparent. Predictable. Patient-Focused.
Introductory Brand Statement
At SIGMA Orthopedics, billing and financial guidance are treated with the same precision and discipline as clinical care. Using high-reliability systems inspired by Six Sigma principles, we focus on predictability, transparency, and proactive support—so there are no surprises along your care journey.
Our approach is designed to protect patients, verify coverage in advance, clearly communicate financial responsibility, and provide dedicated assistance at every step. By reducing uncertainty and variability, we ensure the administrative side of care is organized, accurate, and patient-focused.
How We Verify Your Insurance
What SIGMA Handles
Verification of insurance benefits and eligibility
Review of referral requirements, if applicable
Coordination of prior authorizations when required
Processing of Workers’ Compensation or Personal Injury documentatio
Understanding Your Financial Responsibility
We know medical billing can be complex, so we break it down into clear components. Understanding each part of your bill helps reduce surprises and makes post-visit follow-up smoother.
Key Billing Components
Professional Fees
Charges for services provided by your surgeon or clinical team.Facility Fees
Costs associated with using the surgical center, hospital, or clinic facilities.Anesthesia
Fees for anesthesia services during procedures.Imaging
Charges for X-rays, MRIs, CT scans, or other diagnostic imaging.Labs
Costs for lab tests, blood work, or pathology.Post-Operative Services
Follow-up appointments, physical therapy, or rehabilitation visits.
Self-Pay & Out-of-Network Options
- Transparent explanation of self-pay
- How out-of-network reimbursement works
- What documentation SIGMA provides
- Who to contact for estimates
Secure Online Payments & Patient Portal
Payment Options & Portal Features
Accepted Payment Methods: Major credit cards, debit cards, and electronic payments.
Payment Plans: Flexible plans available to help manage out-of-pocket costs.
Patient Portal Capabilities:
View account balances
Pay bills securely online
Access statements and important medical documents
Dedicated Billing Support
FREQUENTLY ASKED QUESTIONS
What is a superbill?
A superbill is an itemized statement of the services you received. You can submit it to your insurance provider for reimbursement if your plan allows out-of-network claims.
Why was my claim denied?
Claims may be denied due to missing information, network restrictions, or coverage limitations. Contact our billing team for help understanding the reason and next steps.
Can I get an estimate before treatment?
Yes. SIGMA provides personalized cost estimates based on your insurance coverage, services, and any out-of-pocket responsibilities. Request an estimate before your appointment to plan accordingly.
Are payment plans available?
Flexible payment plans are offered for patients needing assistance with out-of-pocket costs. Contact our billing team to learn more and set up a plan that works for you.
What if my insurance requires authorization?
If your plan requires prior authorization, SIGMA will coordinate with your insurance provider to secure approval before your procedure whenever possible.
Financial Clarity Is Part of Exceptional Care
At SIGMA Orthopedics, understanding your insurance, billing, and payment options is an essential part of your care experience. Take the next step with confidence—our team is here to guide you.