NCS Patient Billing

NuVasive Clinical Services commits to partnering with patients and providers to support all parties through the billing process. Coverage for IOM services will vary by insurance provider. Please coordinate with your carrier prior to surgery.

How does IOM Billing Work

If monitoring physician services are provided, those services will be billed separately to your insurance provider. It is the responsibility of your surgeon to let you know if they are requesting IOM for your surgery. Note that the monitoring physician may be out of network. You can view a list of monitoring physicians here and the plans in which they participate. Your insurance provider may then send you an explanation of benefits (EOB) outlining the charges for the monitoring services you received. The EOB is not a bill from NCS. It tells you how the insurance claim was processed and the amount of any coinsurance or deductible you may be responsible for based on your plan benefits. After NCS receives the EOB, we will send you a statement for the amount you owe, based on the applicable co-pay or deductible. Keep in mind it takes approximately 30 days for the claim to be processed but may take longer. 

For billing questions, please call 888.464.2466. Physician bills may come from one of three practice groups: American Neuromonitoring Associates, P.C., Midwest Neuromonitoring Associates, PLLC, or Pacific Neuromonitoring Associates, Inc.

Network Participation

Our physicians have limited in network participation; they participate with Medicare and with certain other payer networks. Several also participate with Blue Cross/Blue Shield. Depending on the patient’s insurance plan, this means that the patient may be receiving IOM services from an out of network provider. Patients should check with their carrier to find out what this means for them. It may be necessary for the patient to ask the surgeon to obtain pre-authorization for IOM services.

After receiving a bill, if there are concerns about the financial ability to pay the amount owed, please contact the patient financial services department at the number below and request information about our financial hardship policy and monthly payment plans. For more information, please call our billing department: 888.464.2466.

Billing FAQ's

Q: What should I do when I receive an explanation of benefits (EOB) from my insurance company? No immediate action is needed. Please note that an explanation of benefits from the insurance company is not a bill from NCS. You will receive a separate bill from NCS for the amount of a co-pay, co-insurance or deductible that is identified by your insurance payer as your responsibility.

Q: What should I do if I receive a check from the insurance company? Although we will follow up with your insurance provider about the status, claims information is often sent directly to the insurance plan member (note that this often happens with Blue Cross accounts). Please forward any payment or correspondence you receive to our office as soon as possible. This will help us to update your account and apply payments properly. If the check is sent directly to you, please forward the check (or write a new check after depositing the insurance payment) and a copy of the EOB to the NCS office at 10275 Little Patuxent Parkway, #300, Columbia MD 21044. To endorse the check, sign on the back and write the name of the physician group that shows on the EOB below your signature. Please call 888.464.2466 with any questions.

Q: I received a bill from NCS – can NCS appeal on my behalf? If the EOB and the bill you receive from NCS show that your claim was processed on an out-of-network basis, and you want to ask your insurance company to re-process the claim, NCS can assist. Please call 888.464.2466 and request that NCS send an out-of-network appeal to the insurance carrier. NCS will send you another bill when the outcome of the appeal is known.

Q: What do I do if I have concerns about my ability to pay the bill? Please call 888.464.2466 and request information about our financial hardship policy and monthly payment plans. NCS does make reasonable efforts to collect all amounts owed but does not refer overdue patient accounts to a collection agency.

Q: Why is the physician likely to be out of network? Our IOM monitoring physicians provide a specialty service to more than 900 healthcare facilities in 45 states nationwide. It is not possible or practical for network contracts to be negotiated with all the payers that may be accepted by the different facilities.

Q: How can you help?  We ask that you verify the insurance information we have on file for you and sign the Assignment of Benefits and Authorization form prior to surgery.  Your signature tells your insurance carrier to pay the physician directly for the monitoring services and allows us to engage with the insurance provider on your behalf as necessary to get the claim paid correctly.  This may reduce or eliminate any out of pocket responsibility for you.

Q: What steps should the surgeon’s office take? Notify your patients that they will be receiving IOM during their surgery and that the monitoring physician may be out-of-network. NCS provides surgeons with information for them to give to their patients about IONM. This can be found here. Check with your patient’s insurance provider to find out if pre-authorization is required for a referral to an out of network provider.


Disclaimer: The amount or estimated amount the patient may be charged, except for those charges incurred as a result of unforeseen medical circumstances, can be made available upon request.