Patient Billing

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

Rights and Protections Against Surprise Medical Bills

If physician services are provided, those services will be billed separately to your insurance provider. Depending on your insurance, the monitoring physician may be out-of-network. If you receive IONM services from an out of network physician but you were treated at an in-network facility, applicable law may require insurance plans and the IONM provider to limit the amount you may owe.  Information about protection from surprise medical bills and state resources can be found below:

State Resources


Arizona Department of Insurance and Financial Institutions
Address: 100 N. 15th Ave. Ste. 261, Phoenix, AZ 85007-2630
Phone: (602) 364-3100
E-mail: [email protected]


Office of the Attorney General
Address: 1300 Broadway, 10th Floor, Denver, CO 80203
Phone: (720) 508-6000


Connecticut Insurance Department Consumer Helpline
Phone: 800.203.3447 or 860.297.3900
Connecticut Office of the Attorney General’s Consumer Assistance Unit
Phone: 860.808.5420.


Delaware Department of Insurance
Phone: 1-800-282-8611 (In Delaware Only) Or (302) 674-7310
Email: [email protected] 


Phone: 1-877-693-5236 or 850-413-3089
Website: [email protected]


Office of Commissioner of Insurance and Safety Fire
Address: 2 Martin Luther King Jr. Dr., West Tower, Suite 702, Atlanta, GA 30334
Phone: (404) 656-2070


The Illinois Department of Insurance
Phone: (877) 527-9431


Indiana Department of Insurance, Consumer Service Department
Address: 311 West Washington Street, Suite 300, Indianapolis, IN 46204-2787
Phone: 1-800-622-4461  
Email: [email protected]


Maine Bureau of Insurance
Address: 34 State House Station, Augusta, ME 04333
Phone: 207-624-8475
Email: [email protected]


The Maryland Insurance Administration
Address: 200 St. Paul Place, Suite 2700, Baltimore, Maryland 21202 
Phone: 410-468-2000 
E-mail: [email protected] 


Massachusetts Attorney General’s office
Phone: 1 888 830 6277


Michigan Department of Insurance and Financial Services
Phone: 877-999-6442


Mississippi Insurance Department, Office of the Insurance Commissioner
Address: Mississippi Insurance Department, P.O. Box 79, Jackson, MS 39205
Phone: 1 800 562 2957


Missouri Department of Insurance
Address: PO Box 690, Jefferson City, MO 65102-0690
Phone: (573) 751-4126


Nevada Department of Insurance 
Consumer Compliance & Licensing 
1818 E. College Pkwy., Suite 103
Carson City, NV 89706
Phone: (775) 687-0700 



New Hampshire Insurance Department
Address: 21 South Fruit Street, Suite 14, Concord, NH 03301
Phone: 1 (800) 852-3416
Email: [email protected]


New Jersey Department of Banking and Insurance
Address: State of 20 West State Street P.O. Box 325 Trenton, New Jersey 08625-0325
Phone: (609) 292-7272


New Mexico Office of Superintendent of Insurance
Phone: (855) 427-5674


New York State Department of Financial Services
Address: 1 State Street, New York, NY 10004-1511
Phone: (800) 342-3736



Ohio Department of Insurance
50 W Town Street Suite 300, Columbus Ohio 43215 
Phone: 800-686-1526 |


Department of Consumer and Business Services 
Division of Financial Regulation
Address: P.O. Box 14480, Salem, OR 97309-0405
Phone: 888-877-4894
Websites: or


Pennsylvania Insurance  Department
Address: 1326 Strawberry Square, Harrisburg, PA 17120
Phone: 1-877-881-6388


Rhode Island Department of Business Regulation Insurance Division
Phone: (401) 462-9520 or submit a complaint at:


The State Corporation Commission Bureau of Insurance
Address: Bureau of Insurance – SCC, P.O. Box 1157, Richmond, Virginia 23218
Phone: 877-310-6560
Email: [email protected];


Offices of Insurance Commissioner
Address: West Virginia Offices of the Insurance Commissioner P.O. Box 50540 Charleston, West Virginia 25305-0540
Phone: (304) 558-3354

Good Faith Estimate

If you are an uninsured or self-pay patient and would like to request a good faith estimate of charges for IONM physician charges, call our Patient Care Specialists at 833-529-6665.

IONM Reimbursement and Payment

After the claim is processed, your insurer will issue an explanation of benefits (EOB) outlining the charges for the monitoring services you received. The EOB is not a bill from the IONM provider and it does not mean you are being “balance billed.” It explains 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 any amount you owe, based on the applicable co-pay or deductible identified by your insurance company.

During the claims processing, NCS may ask that you provide additional information about your insurance coverage or ask that you sign and return an assignment of benefits (AOB) authorizing payment of insurance benefits to the IONM provider and allowing NCS to appeal on your behalf. The AOB allows NCS to engage with your insurer on your behalf in order to get the claim paid correctly.

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 physician practice groups are expanding their in-network participation.  They are Medicare enrolled providers and participate with a growing number of Blue Cross, Medicaid, and other commercial payer networks as listed here. Depending on your insurance plan, you may receive IONM services from an out-of-network provider.

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 IONM services. You will receive a separate bill from the IONM provider for the amount of any co-pay, co-insurance or deductible that is identified by your insurance payer as your responsibility.

Q: What can I do if my claim was processed out-of-network and I receive a bill from NCS, but my surgery was at an in-network facility?

If you were treated at an in-network facility and you receive a bill, but you believe your claim was processed out of network in error, please call 833.529.6665 or send an email to [email protected]. Applicable law may require insurance plans to limit the amount you may owe an out of network provider if you receive care at an in-network hospital but are unknowingly treated by an out-of-network provider.  If this happens and you receive a bill, NCS can assist by asking your insurance provider to re-process the claim and recalculate your cost-share so that it does not exceed the amount that would apply if the IONM services had been furnished by a participating provider.  Note that it is your plan’s responsibility to tell us what your cost-sharing amount is, based on your individual plan benefits and accumulated costs towards your deductible at time of service.

Q: What should I do if I receive a check from the insurance company?

Although we will follow up with your insurer about the status, claim processing information and checks are 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: What do I do if I have concerns about my ability to pay my bill?

Please call 833.529.6665 and request information about our financial hardship policy and monthly payment plans.