Helping Women and Children thrive during one of the most important times in the life of their family.

Elliot Physicians Network
Elliot Cardiovascular Consultants

A Department Of Elliot Hospital
1 Elliot Way, Suite 100, Manchester, NH 03103
Phone: (603) 627-1669   Fax: (603) 624-2297

Patient Information

On this page you will find information regarding, our payment policy, insurance, special arrangements, prescriptions and privacy practices.

Forms are in .pdf format, an Adobe Acrobat Reader file. If you do not have this software, it can be downloaded for free by using the provided link.

Payment Policy

All co-payments are expected at the time of service. For your convenience, MasterCard and Visa are accepted in addition to cash and checks as a method of payment.

INSURANCE
Our billing office transmits electronically to all insurance companies. Patients are expected to provide the office with complete billing information, including mailing addresses and certificate numbers. Patients are responsible for their co-pays, deductibles
and co-insurance.

If you are involved with a managed care insurance plan, please be sure to follow the guidelines of your plan. Be sure to choose specialists who participate with your insurance, and get written referrals when needed. We ask you to call at least a week in advance for any referrals you need. If you choose to go outside of your managed care program, with or without your primary care provider's referral, you may be responsible for the entire bill. We do consider patients responsible for their accounts. Please be aware of your health insurances' policies.

Please update our office of any personal or insurance changes that may affect processing of your claims or contacting you in case of emergencies.

SPECIAL ARRANGEMNETS
We do understand that occasionally circumstances arise which necessitates special payment arrangements. Please contact our Billing Department to assist you between 8:30 AM and 4:30 PM Monday through Friday at 603-627-1669, then press #4.

PRESCRIPTIONS
If you need a prescription refilled, call 602-627-1669, then press # 1 for our prescription line Monday through Friday 8:30 AM to 4:30 PM. Please allow 24 hours to process your refill request. We will only call you if there is a problem with the prescription.

 
Read and Print Elliot Health System's Privacy Policy
   
NOTICE OF PRIVACY PRACTICES