Charlotte Neurology -
 
Patient Information

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card

  • List of current prescriptions and/or over-the-counter medication, including dose and frequency

  • Information about patient's medical and surgical history

  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

Dr. Akhtar is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Please bring the following information to your visit, if you have not already faxed or brought this information to the practice prior to your scheduled visit:

Payment Policy

It is our payment policy to collect the appropriate payment due from the patient at the time the service is rendered. This may only be your co-payment, deductible and/or co-insurance, but we do ask for payment at the time of your visit. We accept all major credit cards.

Co-payment – The cost-sharing part of your bill that is a fixed dollar amount designated by your insurance company that is your responsibility to pay at each visit (also known as “co-pay”). Common co-payment rates are $10 or $20 per visit, but be aware that co-payment rates vary from insurance company to insurance company.

Deductible – The amount of cost sharing that you must pay for medical services often before your health insurance company starts to pay.

Co-insurance – The part of your bill, in addition to a co-pay, that you must pay. Co-insurance is usually a percentage of the total medical bill—for example 20 percent

 
  


3041Senna Drive, Suite B, Matthews, NC 28105
Phone: (704)321-4600 Fax: (704) 849-0847