Patient Information

We welcome our current and new patients to the Central Carolina Dermatology Clinic website. We trust you will find answers to your questions and that this information will make things easier for you when you visit our office!

Quick Links

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General Information

  • Please arrive on time for your scheduled appointment. If you are late for your appointment, you may be asked to reschedule.
  • All patients should bring their insurance card with them to their appointment. Please note Medicaid patients must have their current Medicaid card with them at the time of their appointment.
  • You are responsible for providing your referral if your insurance requires one.
  • At check in, we will ask for a photo id and we will collect your insurance co-pay at the time of your visit.

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New Patient Info

  • On your first visit, please arrive 15 minutes PRIOR to your scheduled appointment in order to complete paperwork and provide our staff with insurance information.
  • Minors who are 17-and-under must be accompanied by a parent or legal guardian. This is to ensure that required paperwork is signed by an authorized guardian.

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Refills

  • If you have an existing prescription that requires Central Carolina Dermatology Clinic’s authorization to obtain additional refills (beyond what is noted), please call your pharmacy and provide your request information to them. They will contact our office to authorize or deny your request.

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PATIENT FORMS

New patient forms-

All new patients will need to complete each of these forms.  Print, complete and bring to your appointment or you may mail or fax them to us.

 

Medical Record request forms-

If you would like a copy of your medical records, print and complete this form and mail or fax to us.  There may be a fee associated with this request.

If you would like to request a copy of your medical record to be sent to another provider or to request another provider to send a copy of their medical record for you to us, print and complete this form and mail or fax to us.

ADDRESS: 404 Westwood Ave Suite 107 High Point, NC 27262

FAX : (336) 887-3194

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Insurance Plans We Participate With:

  • Aetna
    HMO, QPOS, US Access, Aetna Choice Pos, Elect Choice, Managed Choice, Open Choice, HMO Open Access.
  • Blue Cross Blue Shield
  • Cigna Open Access, PPO, HMO or POS
  • Coventry Health care National
    Mail Handlers, APWU, NALC, Hartford, Liberty Mutual, Travelers, Healthcare Preferred
  • First Health
  • Great West
  • Humana / Choicecare PPO
  • Medcost
    ACS, Benefit Managment, Celtic, Federated, Interactive Medical, John Alden, Penn Western
  • Medicaid
    Carolina Access
  • Medicare
    Aetna MCR, Advanta Freedom, BCBS HMO & PPO, Evercare, Humana Gold, Pyramid Todays Options, UHC MCR complete, AARP, Secure Horizons, Unicare Secure Choice, Railroad MCR, Wellcare, America’s 1st Choice
  • PHCS
    PPO or MD Plan, Multiplan (not PHCS if card says POS Plan)
  • Primary Physicians Care
  • Tricare Standard and Tricare for Life-we are not contracted, but we do give a discount
  • United Health Care
    Commercial Plans & Medicare replacements, such as Evercare, Secure Horizons and UHC MCR Complete
  • Wellpath

revised 7/1/10

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Payment Options

  • Central Carolina Dermatology Clinic accepts cash, checks, Visa, MasterCard and Discover.
  • We also have payment plans available for self-pay patients — please ask our billing department for details.

Billing for Office Visits and Surgical Procedures

We want to help you understand how medical insurance covers office visits and procedures.  When you have a co-payment, some insurance carriers apply it to the office visit (evaluation and management) meaning time with the health care provider to give advice and write prescriptions.  Any procedure done in the office such as freezing or removing skin lesions, treating warts with medication, skin biopsies is considered a surgical procedure according to the American Medical Association and is therefore classified as that according to Medicare and commercial insurance billing guidelines.  When these surgical procedures are medically necessary, they may be covered by your plan, but usually fall under a different section of your insurance coverage and may be subject to a deductible.  It is important for you to understand your insurance coverage so you will not be surprised when you get your explanation of benefits from your insurance carrier and bill for our services. 

When possible, we often evaluate your condition and perform the procedure during the same appointment time.  We find that this is more convenient for the patient rather than scheduling another apppointment for the procedure.  This also expedites the diagnosis and treatment of your condition.  These will be identified as separate items on your insurance explanation of benefits and our billing statements.

 

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Privacy Policy

Our Privacy Policy describes how medical information about you may be used and disclosed and how you can get access to the information. Please CLICK HERE to review our entire Privacy Policy.

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Patient Bill of Rights

  • A patient has the right to good quality care and high professional standards that are continually maintained and reviewed.
  • A patient has the right to have his or her medical records treated under the HIPAA guidelines for privacy.
  • A patient has the right to make informed decisions regarding his or her care and has the right to include family members in those decisions as long as they meet the HIPAA guidelines.
  • A patient has the right to have any service, procedure, or fee explained upon request. A patient has the right to be treated with respect.

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Patient Responsibilities

  • A patient is responsible for providing correct and complete information about their health, past medical history and insurance.
  • A patient is responsible for reporting if they do not understand the planned treatment or their part in the plan.
  • A patient is responsible for following the recommended treatment plan they have agreed to by keeping their appointments.
  • A patient is responsible for payment of all charges not covered or unauthorized by his or her insurance carrier, as well as, any associated court costs, collection fees, or other remedies required to collect delinquent accounts.
  • A patient is responsible for co-payments and deductibles at time of service.
  • A patient is responsible for referrals (if required by their insurance), or they may reschedule, or be considered private pay.
  • A patient is responsible for treating others with respect.

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