BUCKS MERCER NEUROLOGY​

Insurance and Payment Information

Patient Forms

Appointments

If you are a new patient to our Neurology practice or are returning to our care, please complete the following forms prior to your visit:

Patient Information

  •  Appointments
  •  Patient Forms
  •  Prescriptions
  •  Insurance and Payment Information

Call Today:

(609)585-0118

Prescriptions

Health Care Forms and Prescription Refills
Please allow 5 to 10 business days for insurance forms to be completed.

Most prescription refills can be completed at the time of your visit to Bucks Mercer Neurology. If you need to refill a prescription between office visits, please call our office at 609-585-0118 ext. 201, and allow 24-48 hours for us to submit the information to your pharmacy. If you leave a message on our prescription refill line at night, on a weekend or on a holiday, it will not be received until the next business day. It is your responsibility to make sure you have adequate medication for weekends/holidays.

If you need a prescription renewal (a new prescription) for a medication that you are already taking, please allow 48 hours for the renewal to be processed.

MAIL ORDER PHARMACIES

It is the patient’s responsibility to mail prescriptions directly to his or her mail order company.  Please be sure to allow adequate shipping time.

NEW PATIENTS

To make an appointment, please call our Hamilton office at (609) 585-0118, and use Option 1.

If this will be your first visit with us or you are returning to our care, please complete our “New Patient Packet” Forms prior to your visit.

Also, please remember to bring these items with you to your appointment:

  • Insurance card
  • Driver’s license or other photo ID
  • A list of current prescription and/or over-the-counter medications, including the dose and frequency
  • Pertinent information about your neurological history
  • Any recent X-rays, MRIs, CT scans, bloodwork, or other test results sent by your primary or referring health care provider
  • A list of questions you would like to ask the doctor


ESTABLISHED PATIENTS

To make an appointment by phone, please call our Hamilton office at (609) 585-0118.


Just a Reminder: We require 24 hour’s notice for cancelling an appointment in order to avoid a Late Cancellation Fee.

Our Clinical Staff are providers for most major insurance plans, including Medicare and most HMO and PPO plans.

However, please check your insurance provider’s list of participating physicians to ensure that your plan allows you to be seen at our office.  It is also your responsibility to make sure that the appropriate referrals are on file with this office.

In addition, it is important to review the rules and limitations on coverage and reimbursement with your insurance provider.  Information regarding your policy can be obtained easily by calling the Customer Service number on your insurance card.

We are happy to process all insurance forms for you as long as you have provided us with the necessary insurance information.  We expect prompt payment if you receive a bill from our office for balances that may be due.  Please feel free to discuss any questions you may have about billing with our office staff. 


Out of Network Services

If your health insurance plan is one in which we do not participate, we will be glad to see if you have out of network benefits.

If you utilize your out of network benefits you will be responsible for all charges, payable at the time of service. As a courtesy we will send claims to the insurance company. 

Referral Statement

If your insurance plan requires a referral from your primary care physician, it is your responsibility to have the referral at the time of appointment. If you do not have a referral at the time of appointment, we will ask you to sign a form stating that you will be responsible for charges if a referral is not obtained.