For Patients
Complete New Patient Packet – NEW!
Patient Forms
- New Patient History
- Patient Demographic Information
- Follow-Up Visit
- HIPAA Authorization
- Credit Card Authorization
- Patient Complaint
- Request for Medical Records to be Sent to Spine & Pain Associates – Raleigh
- Request for Medical Records to be Sent to Spine & Pain Associates – Sanford
- Request for Practice to Release Medical Records
Policies
- After Hours Policy
- Financial Policies
- Additional Patient Information
- Non-Discrimination Policy
- Notice of Privacy Practices
- Receipt of HIPPA Privacy Practices
Insurance
Spine & Pain Associates, PLLC accepts most major private insurance plans as well as Medicare, Medicaid and TriCare. Our participation as an in-network provider may change over time. Below are the current payers that we are contracted with.
Ambetter of NC
Blue Cross/Blue Shield (BCBS)
Bright Health
Cigna
First Carolina Care
Friday Health Plan
Healthy Blue
ChampVA
Humana
Medcost
Medicare
Medicaid
Tricare
United
WellCare
TrustMark Benefits
If we can verify your eligibility for insurance and we are an in-network provider, we will be happy to submit a claim on your behalf. If we cannot verify your eligibility for insurance, if we are a non-network provider with your plan or if you do not have health insurance coverage, we will be happy to provide care for you as a self-pay patient. You are responsible for all charges at the time of service.
We offer discounted fees for medical services that we provide to self-pay patients. Please contact us for additional information.
