Office Policies

Co Pays:

Our billing department will be happy to bill your insurance carrier for services rendered. However, insurance company guidelines mandate that office visit co-pays are due and payable at the time of service. Should a patient have to be billed for their normal office co-pay; a $10 additional service charge will be applied.

Some insurance carriers require additional co-pays for services such as radiology or durable medical equipment. If an insurance carrier applies any additional co-pays, these will be indicated on the “Explanation of Benefits.” Once we have received payment for the claim, we will bill patients for any supplementary required co-pays at no additional cost.

Missed Appointments:

There is a $25 fee for all “no-show/missed appointments.” In the event a patient needs to cancel an appointment, please give 24 hours notice in order to avoid a missed appointment fee. If calling to cancel an appointment after hours, leave a message on our after hours voice mail box. Always make sure to get the name of the person canceling the appointment or the voice mail extension if leaving a message. Missed appointment fees will only be waived under extreme circumstances.


Please be sure to provide correct insurance information and keep us informed of any changes in coverage or insurance provider.

Accepted Insurances:

  • Aetna
  • Arch Health Partners
  • AARP
  • Anthem Blue Cross
  • APWU
  • Beechstreet
  • Blue Cross
  • Blue Shield
  • Cigna
  • Community Health group
  • Department of Labor
  • Farmers
  • Fireman's Fund
  • Gallagher Basset
  • GEHA
  • Graybill Medical Group
  • Great West
  • Healthnet
  • Mail Handlers
  • Medicare
  • Pacificare
  • Personal Injury
  • Plan Handlers
  • Railroad Medicare
  • San Diego County Schools
  • Scan
  • Scripps Coastal Medical Group
  • Scripps Health Plan
  • Secure Horizons
  • Sharp Community Medical Group
  • Tricare UMR
  • United Healthcare
  • United Military and Veterans
  • Veterans Administration
  • Worker's Compensation
  • Other Insurance


Payment Plans:

Financial payment plans are available on a case by case basis. If a patient is unable to pay a bill in full, please contact our billing office at 760-489-1876 ext 104 to discuss setting up a payment plan.

Insurance Benefits:

It is not our responsibility to know the patients insurance benefits. We will make every attempt to obtain benefits prior to treatment; however, this is not always possible. We will be happy to provide the procedure codes needed to verify benefits prior to receiving treatment, should the patient request this.

Medication Refills:

Pain medication prescriptions are written for a 30 day supply. Medications are refilled once a month during a scheduled office visit. As a rule, we do not call or fax narcotic prescription refills to the pharmacy. Lost or stolen medication will not be replaced with a new prescription. Pain medication should be taken as directed as we do NOT provide early refills. Six months of pharmacy records may be required before a narcotic prescription can be issued. Non urgent calls regarding medication are returned within 72 hours. Medication changes are addressed during scheduled office visits. Before leaving the office, it is recommended that patients schedule their next appointment to avoid any last minute requests for an appointment which we may not be able to accommodate.

After Hours:

Our after-hours telephone number is reserved for urgent matters which cannot wait until the following business day. This number is not intended for emergency situations or for routine care. Should you have an emergency, do not use the after hours number – dial 911 immediately. Otherwise, our after hours phone message will provide you with a number to call for after hours urgent situations.

We are not a walk-in clinic. All appointments must be scheduled in advance.



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