Your Surgeon chooses to use Intra-Operative Neurophysiological Monitoring (IONM) to aid monitor the integrity of your nervous system during your surgery. This helps give you the best surgical outcome. A highly trained Neuromonitoring tech works directly with your surgeon, anesthesia, and a remote reading physician to make sure the best data is documented through the entirety of the surgery. These technical and professional services are billed separately to the hospital and your insurance provider. Your surgeon can give you more information on the value you will gain from their use of IONM.

Prior to moving to the Operating Room, one of our Intraoperative tech will introduce themself and get a signed consent from you. Your signature allows us to work with your insurance carrier, on your behalf, and tells them to pay us directly for the IONM care we provide. 

You may receive a Bill or Statement from us for the cost sharing component of the service (i.e., deductible and co-insurance as determined by your insurance carrier) if you have not yet met your deductible or out-of-pocket maximums. 

The EOB is not a bill. This means you do not need to take immediate action. The EOB is meant to help you understand charges for care you have received and outline your co-insurance or deductible amounts you may be responsible for based on your insurance plan. You may not receive an EOB for IONM services for over 30 days due to normal processing times. 

We follow up regularly with your insurance provider to direct communication and payment information to us but occasionally they will send payment directly to you. This happens more commonly if you are with a Blue Cross Blue Shield plan. We ask you to forward payments and any associated communications (like the EOB) to us for processing. This helps us update your account accurately and promptly. You may also write a personal check if you have already deposited the check you received from the insurance carrier. Please send payment and a copy of the EOB to: