Asim Guha Roy, M.D. INC
Asim Guha Roy, M.D. INC

Office Policies

Appointments

 

In order to serve you better, please give us a call to set up an appointment.

 

Our office visits are by appointment only. We are able to accomodate walk-in appointment depending on availability.

 

In order to help us accomodate your appointment time in a timely manner, please arrive 15 minutes early for check-in and to update any necessary information. If you are unable to keep your appontment, cancellations must be done 24 hours prior or we will charge a $30.00 no-show fee.

 

Please bring a valid insurance card and photo ID with you to your appointment. If you are currently taking any medications, including over-the-counter and natural supplements, please bring a list of those medications to your appointment.

 

We appreciate your understanding as our physicians occasionally fall behind schedule. We will do our best to keep you informed of our schedule as you arrive for your appointment and give you the option to reschedule.

 

New Patients

 

For your convenience, please download the following documents which can be found on the "Forms" tab:

  • New Patient Registration Form
  • E-Prescribing Consent Form
  • Acknowledgement of Receipt of Notice of Privacy Practices HIPPA
  • Authorization to Release Protected Health Information (to our office)
  • Authorization to Release Protected Health Information (from our office)

Once you have downloaded all of the documents, please printand complete all the necessary information prior to your appointment. Bring the completed forms with you to your appointment and hand it to the receptionist. 

 

Insurance Billing

 

Our practice is contracted with a variety of health insurance plans including:

  • Aetna-PPO
  • Blue Cross of CA-PPO
  • Blue Shield of CA-PPO
  • Care 1st Medicare
  • Community Health Group Medicare
  • Health Net-PPO
  • Sharp Health Plan ( some)
  • Tricare, Triwest
  • United Healthcare-PPO

If your particular health insurance is not listed above, or have any questions with the insurances we are contracted with, please call our office.

 

For your convenience, if we are not contracted with your health insurance, please download the Out of Network Reimbursement Request Form which can be found under the "Forms" tab. Please print and complete this document and hand it to the receptionist on the day of your appointment.

 

Payments

 

Co-payments are due once you check-in into the office. We are unable to bill you for your co-payment.

 

Billing statements will be available upon settlement of insurance billing. A second courtesy statement will be sent approximately 30 days later. Payments are due once you have received the statement in the mail. If we do not receive payment within 10 days after sending the second courtesy statment, your account will be considered delinquent, along with a late fee charge of $30.00.

 

Accounts that are more than 60 days delinquent may be sent to an outside credit agency for collections.

 

Prescription Requests

 

Please allow at least 72 hours for all prescription refills.

New prescription requests or antibiotics will require an appointment.

 

 

Asim Guha Roy, M.D. Inc.
4540 Kearny Villa Rd #106
San Diego, CA 92123
Phone: 858-430-6656 858-430-6656
Fax: 858-256-5424
E-mail Address:

Our office is located in the LANDMARK CENTRE, which is conveniently off the CA-163 freeway, Balboa Ave exit. Please refer to the Directions tab for more information.

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