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Lancaster County: (717) 299-4871
Lebanon County: (717) 277-7005
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FAQs

Some of the most common questions patients ask are listed on this page. For more questions specifically related to your bill, insurance, or account, please check the Online Business Office FAQs. If you still have unanswered questions, feel free to call us at (717) 299-4871.

How do I know if your office participates with my insurance?

Call your insurance company and give them our tax identification number: 23-187-9220. They can use this number to verify whether we are a participating provider. Or you can call our business office at (717) 299-1928 to find out if we accept your insurance plan.

How do I schedule an appointment?

To schedule an initial appointment with a doctor at Orthopedic Associates of Lancaster, call our schedulers at (717) 299-4871. They will take your insurance information and get you scheduled for your visit. Follow-up visits are then scheduled by our exit staff when you leave at the end of your appointment.

Do I need a referral?

Everyone’s insurance plan is different. It is essential that you are familiar with the requirements of your particular plan. If you choose to come to our office and we do not participate with your insurance company, it is your responsibility to contact your primary care physician (PCP) before the visit to obtain an out-of-network referral.

It is important to remember, however, that even if we participate with your insurance you may need a referral. Some plans allow you to come to a specialist without a referral with the understanding that if you come without one, you may have to pay more than you would if you do have a referral.

Ultimately, it is your responsibility as a patient to know whether a referral is required.

What if my doctor refers me to a different orthopedist?

As a patient, you may decide which doctor(s) you would like to provide your treatment. If your primary care physician refers you elsewhere, you may ask them to write a referral to our office. You will want to double check, though, to make sure that our office participates with your insurance company.

How do I get an out-of-network referral?

To obtain an out-of-network referral you need to contact your primary care physician (PCP). Ask them to write an out-of-network referral to our office. Be specific. Tell them the date of your appointment and what you are being treated for. Present your referral at our front desk when you arrive for your appointment.

What if my treatment is not approved by my insurance company?

Many types of treatment require preauthorization, for example, MRI, physical therapy, injections, etc. If your insurance company denies any of these services, you can appeal the decision by contacting your insurance company’s customer service department and asking for appeals.

If you are denied authorization for a procedure and you choose to continue with treatment, be prepared to pay all charges in full.

Do you charge me if I request that your practice complete a form not required by my insurer?

In most cases, yes, just as other medical practices do. Forms take skilled staff time to complete accurately. When a form is not required by your health insurer, we typically charge a prepaid fee of $15.

For detailed information about our forms completion policy, click here