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Scheduling & Billing




Appointments 
While we try to keep waiting times to a minimum, emergencies may occasionally disrupt our schedule.  If a significant delay in the doctor’s schedule occurs, his/her assistant will try to notify you so that you will have the option of rescheduling your appointment or, if it is possible, waiting until the doctor is available.  If you are unable to keep a scheduled appointment, please notify us at least 24 hours in advance so that we may accommodate other patients.  If no notification is given by the patient, a fee may be assessed. If you are more than 15 minutes late for a scheduled appointment, it may be necessary to reschedule you, so as not to inconvenience other patients. 

At the time of your first office visit, please bring the following with you:

  • Completed registration forms mailed to you
  • Health insurance card and photo ID
  • If scan (MRI, CT, etc.) was done, please bring report and films to help in diagnosing or treating your problem

Plan to arrive at least 20 minutes prior to you scheduled appointment time in order to complete the necessary forms if you haven’t completed them in advance of your appointment. 

Hours of Operation
Our office is open from 8:00 AM to 4:30 PM, Monday through Friday.  
The hours for each physician will vary but your choice of appointment time will be given every possible consideration. EEG’s (electroencephalograms) are scheduled from 7:00 AM to 5:00 PM Monday through Friday.

After Hours Emergencies
If you are having a medical emergency, please dial 911 immediately. In the event of a life threatening emergency or one in which you are in doubt, call 911 or go immediately to the nearest emergency room.

Inclement Weather 
There may be times where it is necessary to cancel office hours for inclement weather.  We will make every effort to contact the patient when this occurs; however, you may call our office at (540) 342-0211.  A recording will inform you if the office has closed.

Financial Policies & Insurance Information
Our practice Insurance policies are listed below. Any Specific question may be directed to the Insurance Department. We file your insurance as a courtesy to you, but you are ultimately responsible for all charges. Accounts with a past due balance greater than 60 days from the date of service may be turned over to collections, and a collection fee may be applied.

Participating Insurances:                            

  • Medicare                                                          MAMSI*
  • Medicare replacement plans                              John Deere
  • Anthem BCBS                                                 Southern Health
  • Anthem Healthkeepers*                                    Tricare
  • Cigna                                                               VHN
  • Aetna                                                               Medicaid*
  • United Healthcare                                             Virginia Premier

Patients with Participating Insurances:
We will file a claim for you. If your insurance requires a pre-authorization or referral, it is your responsibility to acquire one. If your insurance plan requires a co-payment, please come prepared to pay. If you have a secondary insurance we will make one attempt to file the claim. If they do not respond within 30 days, balance will be transferred to your responsibility. Any bills remaining after insurance must be paid in full within 30 days from your first statement date. Return appointments will not be possible if balance is outstanding, or payment arrangements have not been made. We will make every attempt to work with you, but we do expect timely payment.

  • Anthem Healthkeepers: This insurance always requires a referral or authorization from your primary care physician. It is your responsibility to acquire one. Please contact our office prior to your appointment to confirm we have your referral on file for date of service, or you will be responsible for all payment.
  • Medicaid: We accept Medicaid/Virginia Premier/ Medallion upon referral from your primary care physician. A valid insurance id card must be presented for everyvisit to this office. Any patient without a valid card and referral will have to reschedule their appointment. If you have a co-pay be prepared to pay, as you will not be seen until paid.
  • MAMSI HMO Plans (MD IPA, Optimum Choice): Any of the HMO policies require referrals. It is your responsibility to acquire one. Please contact our office prior to appointment to make sure your referral is on file for your date of service.

Patients with Out of Network Insurances:
A $50 payment is necessary, and must be paid before you can be seen. We will file a claim to your insurance, but if the insurance required a pre-authorization or referral, it is your responsibility to acquire one. Any bills remaining after insurance must be paid in full within thirty days from the first statement. Return appointments will not be possible if your previous bill has not been paid, or payment arrangements have not been made. A minimum of $25 will be necessary for return visits. We will make every attempt to work with you, but we do expect timely payment.
**If you are scheduled for a procedure please contact our insurance department as a payment plan must be set-up.

**Roanoke Neurological Associates, Inc. reserves the right to not accept any insurance that we do not participate with. If your insurance is not listed as participating we strongly urge you to contact our office in advance of your appointment.

Self-pay Patients or Patients with Insurances that we do not file:

Patients with No Insurance or Insurance that we do not Accept:
A deposit of $150.00 must be paid no less than 2 days prior to the appointment. If the deposit is not received, The Appointment Will Be Cancelled. Please contact the bookkeeper prior to your appointment to make this payment. Return appointments are required to be paid in full the day of the appointment.
If you have insurance that we do not accept we will provide you with an insurance form, which you may use to file your claim to your insurance company.
Insurances we do not accept:

  • West Virginia Medicaid
  • West Virginia Workers Compensation
  • US Department of Labor Worker’s Compensation
  • Healthcare Discount Networks

Procedure Payment Policies for patients who are self-pay or have an insurance that we do not accept:
If you have been scheduled for a procedure, prior payment arrangements must be made! Please contact our office immediately. If prior payment arrangements are not made, your procedure will be CANCELLED. We will make every attempt to work with you, but we do expect timely payment.