Patient Resources

Forms and Downloads

Patient Demographic Information Form
Medical History Form
Medical Records Release Form

Websites explaining dermatologic conditions

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Cancellation & No Show Fees

Please note, there is a $35 no show and cancellation fee if your appointment is not cancelled within 24 hours of your appointment.

Billing

For billing questions, please contact our contracted billing company MEDCOMM at 1-614-553-0997. Please have your patient account number handy or include it in your email so we can assist you better.

Insurance and Payments

Payments
Co-payments and deductibles are due at the time of your visit. Per federal law, you must have your insurance card and photo ID at each visit. If you have questions, please call (614) 898-7546 to speak with a billing associate or manager prior to your appointment.

You are responsible for all costs not covered by insurance. For out-of-pocket expenses, including deductibles, co-insurance and co-payments, we accept Visa, MasterCard and Discover credit cards, as well as personal checks and cash.

Plans we accept include but are not limited to:

AARP MEDICARE COMPLETE

AETNA/AETNA MEDICARE

ALLSAVERS

AMERIBEN

ANTHEM/ANTHEM MEDICARE

ASSURANT HEALTH

BEECH STREET

BUSINESS ADMIN CONSULTANTS

CIGNA/GREAT WEST CIGNA

FIRST HEALTH

GEHA

GOLDEN RULE

HUMANA/HUMANA MEDICARE

KLAIS & CO

MAILHANDLERS

MEDBEN

MUTUAL OF OMAHA

NATIONWIDE

MEDICAL MUTUAL

MEDICARE/RAILROAD MEDICARE

MEDIGOLD PPO

MERITAIN HEALTH

 

 

NGS/CORESOURCE

OPTIMA HEALTH/OHIO HEALTHY

PHCS

PRINCIPAL MUTUAL LIFE

PRUDENTIAL

TRICARE/TRICARE FOR LIFE

UMR

UNITED HEALTHCARE

UHC NAVIGATE

UHC MEDICARE COMPLETE

PLEASE NOTE: COSC IS NOT A PROVIDER
FOR ANY MEDICAID OR EXCHANGE PRODUCT.
**ANYTHING WITH THE WORDS CATASTROPHIC, BRONZE, SILVER, GOLD OR PLATINIUM IN THE NAME**

Plans That Require a Referral:

AETNA-HMO, MEDICARE HMO, SELECT, EPO
TRICARE PRIME
UHC MEDICARE ADVANTAGE
HUMANA HMO GOLD PLUS
UHC MCR COMPLETE HMO
UHC ALL SAVER
UHC NAVIGATE

AETNA MANAGED CHOICE POS & QUALITY POINT OF SERVICE (QPOS) REFERRRAL URGED FOR MAX BENEFITS

Plans We Are NOT Providers For:

AETNA TRINITY/MT CARMEL

OHIO MEDICAID

MOLINA

CARESOURCE

UNISON

BUCKEYE HEALTH

AETNA BETTER HEALTH

MY CARE OHIO

UHC COMMUNITY

CHAMPUS

MEDIGOLD HMO

ASSURANT HEALTH

ANTHEM PATHWAY HMO

PARAMOUNT HEALTH CARE

SUMMACARE

KAISER FOUNDATION HEALTH

UHC COMPASS

OHIO QUALIFIED MEDICARE BENEFICIARY

COVENTRY

ANTHEM BCBS ARIZONA HMO

BUREAU OF HANDICAPPED CHILDREN

ASSURANT HEALTH EXCHANGE

If you have a question about whether or not we accept your insurance plan, please call our office at (614) 898-7546. Our patient accounts team will be more than happy to verify coverage before we make your appointment.

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