Insurance Information for team elton

Insurance Information

Dr. Elton and his team at Vail-Summit Orthopaedics & Neurosurgery are in network with most major carriers. However, insurance plan contracts change frequently. We highly recommend patients confirm our participation directly by contacting their carriers or the VSON business department at (866) 358-0202.

There are many insurance plans that we are not contracted with. As a courtesy to our patients, we will bill these insurance carriers on your behalf; however, if the insurance carrier does not process the claim in a timely manner (60 days from the time the bill is properly submitted), we will contact you for payment on your account.

Referrals & Pre-Authorizations

Many insurance plans require referrals and/or pre-authorization for certain services and/or procedures. While we make every effort to ensure your services will be covered, it is ultimately your responsibility to ensure the terms of your insurance plan are met.

Explanation Of Benefits & Statements

In most cases, you will receive an EOB (Explanation of Benefits) from your insurance carrier. The EOB will generally outline what was billed, what was paid and what we can or cannot bill to the patient. These forms vary greatly from plan to plan and contain a lot of terminology you may not be familiar with. If you have any questions regarding an EOB you have received, please contact our business department at (866) 358-0202. We would be happy to assist you. You will receive a statement for unpaid balances on your account. Items pending from the insurance company will NOT show on your bill. If you have questions about your statement, please contact our business department at (866) 358-0202.