billing for neuromonitoring services

Patient Billing

NMA is committed to support patients through the billing process. Coverage for IONM services will vary by insurance provider. We recommend coordinating with your carrier prior to surgery.

For billing questions or concerns please contact our customer service team at customerservice@nmaiom.com or call (855) 864-4322

Rights and Protections Against Surprise Medical Bills

The regulations and laws currently in place will likely ensure the costs to you associated with using our services will be the same as if we were an in-network provider. If we are not in your carrier’s network and you are receiving services by an in-network surgeon at an in-network facility, we will be covered by the No Surprises Act as an out-of-network provider providing services at an in-network facility. The No Surprises Act will ensure your insurance carrier calculates the cost sharing component on an in-network basis and balance billing is prohibited. For additional information on the No Surprises Act, please click on the link below:

No Surprise Act

Frequently Asked Questions:

For billing questions or concerns please contact our customer service at customerservice@nmaiom.com or call (855) 864-4322. Below is a list of our Frequently Asked Questions.

Q. Why Does NMA Bill My Insurance for IONM Services?

Your Surgeon chooses to use Intra-Operative Neurophysiological Monitoring (IONM) because we provide key information when it is needed most. This helps give you the best surgical outcome. We bring specialized equipment operated by highly trained neurotechnologists to the surgery who then work directly with your surgeon, anesthesia, and a remote telemedicine Physician specialist. 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.

Q. Does My Insurance Pay For IONM?

Where possible we work to obtain prior authorization to use IONM prior to your surgery. If your surgeon determined IONM was needed for your procedure our services are provided regardless of your ability to pay. This is our commitment to you and the medical community. Please contact your insurance provider for more details on your coverage for IONM. Please note that we are a participating provider in Medicare and other government plans and some commercial plans but your insurance provider may process our bill out-of-network. Refer to the No Surprises Act link above for additional information.

Q. I received an Explanation of Benefits (EOB). What should I do?

The EOB is not a bill from NMA or any of our providers. 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. Please email or call us with any questions about an EOB or bill you may receive.

Q. What should I do if I receive a check from the insurance company?

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:

Neuromonitoring Associates 7455 W. Washington Ave, suite 302 Las Vegas, NV 89128

For billing questions or concerns please contact our customer service at customerservice@nmaiom.com or call (855) 864-4322

Q. What Did I Sign in Pre-Op?

Prior to moving to the Operating Room you were in the Pre-Op. While there, one of our team members introduced themselves, fitted you with the AMPlet wrist band, and walked you through what to expect from NMA. It is during this time you verified insurance information, signed the Authorization to receive IONM services as well as the Assignment of Benefits. Your signature allows us to work with your insurance carrier, on your behalf, and tells them to pay us directly for the IONM care provided. Our goal is to reduce or eliminate frustration and limit your responsibility.

Q. I Received a Bill From NMA, What Should I Do?

Once NMA has completed the billing process with the insurance carrier, 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. Please email or call our customer service team so we can answer any questions or assist you with what steps to take next. This may mean we appeal on your behalf, explain our billing process, provide insight into timelines, or continue our discussions with your insurance provider. Refer to the No Surprises Act link above for additional information.

Q. What Do I Do If I Have Concerns About My Bill or My Ability to Pay?

Please email or call our customer service team at customerservice@nmaiom.com or call 855-864-4322 so our team can work closely with you regarding all options. Our goal is to prevent frustration and concern after your surgery that may be caused by billing related matters or miscommunications. By speaking directly with us your questions can be best resolved and we can provide additional information about our financial hardship policy and monthly payment plans.

Q. Are You In-Network with my Insurance Provider?

We offer IONM specialty services in nearly 300 facilities and are requested by over 500 surgeons nationwide. While we do participate with Medicare and many other carriers, it is not possible for us to enter into negotiated agreements for every provider in every state. This may mean that our services are not considered in-network with your insurance provider. Again, if you have any questions, please email or call our customer service team at customerservice@nmaiom.com or call 855-864-4322. Also, refer to the No Surprises Act link above for additional information.

Q. How Can Surgeons Offices and Hospital Help?

We kindly ask that each patient is notified that they will be receiving IONM services during their surgery which may be processed out-of-network by their insurance provider. NMA provides surgeon offices and hospitals with helpful information for them to give to their patients about IONM. We also ask we receive all the same documentation you provided to the hospital when scheduling the surgery. This will minimize patient concern, billing confusion, and distractions after scheduling and allow for prior authorization where required.


For billing questions or concerns please contact our customer service at customerservice@nmaiom.com or call (855) 864-4322