FAQ

PROVIDERS

You establish the Healora fees for your practice per visit and/or based  on the service.  Healora suggests the medicare pricing fee structure + 20%.  Many successful practices go much lower as they start to get patients that continue to reduce their costs and administrative burdens.  The more competitive your fees are, the faster your Direct Pay practice should grow.  Providers who are happy with the Medicare reimbursement schedule will be in perfect harmony receiving immediate payment from Healora patients at the time of service.  No balance billing or collections.  By eliminating administrative costs associated with activities such as billing, producing insurance claim forms, coding diagnoses and procedures, referrals, authorizations, payment delays, EOB reviews, claim denials, re-submissions, collection risks, and other “managed care” costs, you can provide patients a fair price for services without the administrative hassles and bureaucracy.  Our physicians set their DIRECT PAY price at medicare x 165% and still benefit financially.  You have the legal right to charge a reduced rate for a particular medical service based on a “prompt pay” discount.  You may change your pricing up or down at any time.  There are currently four choices when selecting your lowest acceptable price:  Medicare x 165% / Medicare x 120% / Medicare x 110% / Medicare.   Your price stays hidden from the public as they view providers based on the individual provider’s lowest “reserve” – acceptable Direct Pay price. Contact us for “best practice” tips on how to reduce your paperwork and unnecessary administrative costs, to establish fair, profitable fee structure.

That is the simple specific function of Healora.  We help you attract patients who will pay the provider directly at the time of service.  These patients know they are receiving a substantial discount by paying in full at the time you deliver your services.  Our searchable online database, including a provider profile page with pertinent physician controls and updates exposes you to our network of cash paying patients.  To strengthen this market recognition you may include the Healora logo in your advertisements and send a press release to the media in your area.

Coding or description of services is up to you. To distinguish Healora patients from others, we recommend using the prefix H in your notes.  This simple approach will save you time, avoid confusion, and reduce your legal exposure for accidentally miss-coding a service.

Yes, if you want your patients to pay cash at the time of service so they can receive a substantial discount and you can reduce the administrative burden of collecting from insurance and balance billing.

At your option, when the patient calls for the appointment you can require a $50 hold be placed on the patient’s credit card. The patient will understand that a spot has been reserved at a low rate and if they do not show up or call 24 hours prior to the appointment they will forfeit the $50.

PATIENTS

Anyone who needs healthcare services and would like a discount for paying at the time of service. For example:

  • The patient who has a HSA card and needs health services.
  • The insured employee who has a high deductible and copay and can’t afford to use his/her insurance.
  • The uninsured/self-employed patient who is willing to pay at the time of service to receive a substantial discount.

Services include:

Primary Care – Physical Exams, VIP Exams, Surgery Clearance Exams

Diagnostic Services – Lab Work like blood analysis or Imaging like x-rays, CT

scans and MRIs

Specialty Procedures – When your doctor or primary care physician says you

need a _________(septoplasty, colonoscopy, knee replacement, spinal

surgery, etc.)

The Healora website includes a continually updated searchable database of top-quality physicians in multiple specialties. In addition to physicians, you can also search for participating imaging centers, labs, and urgent care facilities. Additional physicians and services are continually joining in your area!  If you have a specific

doctor in mind let us know and we’ll get them on board!

Healora has all 25 of the American Medical Association recognized specialists. When you want a second opinion or want an elective procedure that your insurance won’t cover – just look up the specialty and make the appointment!

Absolutey! Imaging centers, labs, and urgent care clinics offer great direct-pay pricing.  In many cases these service centers can provide a mobile unit to your employer for group screenings like mammograms.  Let us know!

Please contact your healthcare provider directly at least 24 hours in advance of your appointment if you need to make a change or cancel your appointment.

Healora encourages physician members to look at the average insurance reimbursement for the healthcare services they offer when deciding on a fair fee structure. Physicians provide the Healora network an additional discount because of the patient flow and their agreement to pay at the time of service.

Healora has agreements with most insurance networks to apply the deductible.

Of course! When you need healthcare service use Healora to save money!

Let them know about Healora and let us know about them.  We love to share our network with new physicians.  We will contact them on your behalf.

Generally a minimum of 30%, however, in many cases Healora providers are reducing their standard fees up to as much as 70% for Healora Direct Pay patients. Each provider determines their fee structure so savings does vary which allows you to choose.

We provide financing options that allow you to get the cash price.  Let us know what you need.

Yes. By letting everyone know we create an incredible market which creates competition which drives higher quality, lower prices and greater choice.

Healora providers are licensed and regulated by their appropriate professional and governmental organizations. These organizations are responsible for review and enforcement of provider credentials.

100%.  Patient privacy is absolute from us.