1. Acceptance of Terms
Welcome to LoDo Pain, LLC (“LoDo Pain,” “we,” “our,” or “us”).
These Terms of Service (“Terms”) govern your access to and use of our website, online forms, patient communications, and related administrative services.
By accessing or using our website, you agree to these Terms. If you do not agree with these Terms, please do not use the website.
These Terms supplement, but do not replace, our Notice of Privacy Practices, Financial Policy, Consent to Treatment, medication or controlled-substance agreements, telemedicine consent, and other documents applicable to patient care.
2. Nature of Services
LoDo Pain, LLC is a specialty chronic pain clinic providing evaluation and medication-management services for adults with documented chronic pain conditions.
Medical services are delivered by licensed healthcare professionals in accordance with applicable Arizona and federal laws.
LoDo Practice Management, LLC provides administrative and operational support services to LoDo Pain, LLC. Clinical decisions remain solely under the authority of LoDo Pain’s licensed healthcare professionals.
3. No Medical Advice Through the Website
Information provided on this website is for general informational and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment.
Use of this website, submission of an online form, or communication with our administrative staff does not by itself establish a provider–patient relationship. A provider–patient relationship is established only after LoDo Pain accepts an individual as a patient and the individual receives appropriate clinical evaluation or treatment.
Do not disregard professional medical advice or delay seeking care because of information found on this website.
If you are experiencing a medical emergency, call 911 or go to the nearest emergency department. The website and its communication features are not monitored or intended for emergencies.
4. Clinical Decision-Making
Clinical decisions—including evaluation, diagnosis, treatment planning, prescribing, referrals, testing, and monitoring—are made by licensed healthcare professionals based on individual clinical circumstances, professional standards, and applicable law.
Care is delivered within a clinical-governance framework intended to promote patient safety, regulatory compliance, and responsible prescribing.
Scheduling an appointment, paying a fee, receiving insurance authorization, or obtaining insurance coverage does not guarantee:
- Acceptance as a patient;
- A particular diagnosis or treatment plan;
- The prescribing or continuation of any medication;
- A particular medication type, dosage, or quantity;
- Completion of a requested form or referral; or
- Continued treatment when continued care is not clinically appropriate.
5. Insurance Participation and Payment
LoDo Pain accepts Original Medicare for covered services, subject to Medicare eligibility, coverage requirements, medical-necessity standards, and applicable Medicare rules.
Enrollment or participation in Original Medicare does not mean that LoDo Pain is in-network with every Medicare Advantage plan, Medicare supplemental policy, commercial insurance plan, or other payer. Medicare Advantage plans are administered separately and may have their own provider networks, referral rules, and prior-authorization requirements.
LoDo Pain is enrolled as a provider with the Arizona Health Care Cost Containment System (“AHCCCS”). AHCCCS enrollment does not mean that LoDo Pain is contracted or in-network with every AHCCCS managed-care organization or health plan. LoDo Pain may provide services to an AHCCCS member only when permitted under applicable program and health-plan requirements, including through a network agreement, plan authorization, single-case agreement, or another legally permissible arrangement.
Patients must provide current and accurate insurance information and notify LoDo Pain promptly of changes in coverage. Patients should contact our office before scheduling to determine whether LoDo Pain currently participates with their specific plan.
Information provided by LoDo Pain regarding eligibility, benefits, network participation, referrals, or authorization is based on information available at that time and is not a guarantee of coverage or payment. Final coverage and payment decisions are made by the applicable government program, health plan, or insurer.
Where permitted by law and the applicable payer agreement, patients are responsible for deductibles, copayments, coinsurance, non-covered services, and other authorized patient-responsibility amounts. LoDo Pain will not bill or seek payment from Medicare or AHCCCS beneficiaries for amounts that applicable law or payer requirements prohibit the clinic from collecting.
When required, LoDo Pain may ask a patient to sign an appropriate written notice or financial acknowledgment before receiving an item or service that may not be covered. A patient may choose not to receive the item or service after reviewing that notice.
Patients with Medicare, AHCCCS, Medicare Advantage, secondary coverage, or other insurance must inform LoDo Pain of all applicable coverage so that claims and coordination of benefits can be handled appropriately.
Self-pay options may be available for individuals without insurance or for services that are not covered, when permitted by law and applicable payer rules. Separate Financial Policies may apply.
6. Referrals, Prior Authorization, and Coverage Requirements
Some health plans require a referral, prior authorization, single-case agreement, or other approval before services are provided.
LoDo Pain may assist with these requirements but cannot guarantee approval, continued authorization, or payment. An authorization confirms that specified services may be considered for coverage; it does not guarantee that the payer will pay a claim.
Patients are responsible for cooperating with requests for insurance information, referrals, medical records, and other documentation needed to evaluate coverage or obtain authorization. LoDo Pain may postpone or decline non-emergency services if required coverage conditions have not been satisfied, subject to applicable law and payer requirements.
7. Appointments and Telemedicine
Appointments are scheduled based on clinical appropriateness, provider availability, insurance requirements, and completion of required intake documentation.
Care is primarily delivered through in-office visits. Telemedicine may be available when clinically appropriate and permitted by Arizona and federal law. Telemedicine services are subject to the same professional, safety, documentation, coverage, and prescribing requirements as in-person care.
Unless otherwise permitted by law, patients must be physically located in Arizona at the time of a telemedicine appointment. Patients may be asked to confirm their identity and physical location at the beginning of each telemedicine visit.
Availability of telemedicine does not guarantee that a particular visit or service will be covered by Medicare, AHCCCS, or another payer.
8. Patient Responsibilities
By using our services, patients agree to:
- Provide accurate, complete, and current personal, medical, and insurance information;
- Present current insurance identification and other requested documentation;
- Inform LoDo Pain of changes in insurance coverage, eligibility, contact information, or medical condition;
- Comply with treatment agreements, medication-safety requirements, laboratory testing, monitoring, and follow-up recommendations;
- Obtain required referrals when the patient’s health plan assigns that responsibility to the patient;
- Attend scheduled appointments or provide timely notice of cancellation;
- Pay lawful patient-responsibility amounts in accordance with the Financial Policy; and
- Use patient portals, telephone systems, email, text messaging, and other communication methods appropriately.
Failure to comply with clinical or administrative policies may result in rescheduling, suspension of non-emergency services, or discharge from the practice, when permitted by law and consistent with continuity-of-care and patient-safety obligations.
Nothing in these Terms requires a Medicare or AHCCCS beneficiary to pay an amount that applicable law or program requirements prohibit LoDo Pain from collecting.
9. Website Forms and Electronic Communications
Online appointment requests, intake forms, and other website submissions do not guarantee acceptance as a patient, appointment availability, insurance authorization, or coverage.
Electronic communications may not be reviewed immediately and should not be used for emergencies or urgent medical concerns.
Patients should avoid submitting medical or other sensitive information through ordinary email or other unsecured communication methods unless specifically directed to do so. Availability of a communication method does not guarantee that it is appropriate for every type of information.
10. Privacy
General website information and usage data are governed by our Website Privacy Notice.
Protected health information is governed by the Health Insurance Portability and Accountability Act (“HIPAA”), applicable Arizona law, and LoDo Pain’s Notice of Privacy Practices.
These Terms do not replace or modify rights described in the Notice of Privacy Practices.
11. Third-Party Services and Links
Our website may contain links to external websites, patient portals, payment processors, mapping services, or other third-party resources.
LoDo Pain does not control and is not responsible for the availability, security, content, privacy practices, or accuracy of third-party services. The inclusion of a link does not constitute an endorsement.
Use of third-party services may be governed by separate terms and privacy policies.
12. Intellectual Property
Unless otherwise stated, website content, logos, trademarks, graphics, and materials are owned by or licensed to LoDo Pain, LLC.
Content may not be copied, reproduced, distributed, modified, or used for commercial purposes without prior written permission, except as permitted by law.
13. Website Availability and Accuracy
LoDo Pain attempts to keep website information accurate and current but does not guarantee that all content will be complete, error-free, or continuously available.
Information concerning participating insurance plans, provider availability, services, office policies, and applicable laws may change. Patients should contact the office for current information.
LoDo Pain may modify, suspend, or discontinue any website feature at any time, subject to applicable law.
14. Limitation of Liability
To the fullest extent permitted by law, LoDo Pain, LLC is not liable for indirect, incidental, special, or consequential damages arising from use of, or inability to use, this website or its administrative features.
Nothing in these Terms waives or limits any right, remedy, duty, or liability that cannot legally be waived or limited. Nothing in this section limits liability arising from medical services to the extent governed by applicable law.
15. Dispute Resolution
These Terms are governed by the laws of the State of Arizona, without regard to conflict-of-law principles.
To the extent permitted by law, disputes relating solely to website use or administrative services shall be resolved through binding arbitration in Maricopa County, Arizona, under the applicable rules of the American Arbitration Association.
This arbitration provision does not expand, restrict, or alter any right or procedure applicable to claims arising from medical care, professional negligence, Medicare, Medicaid, AHCCCS, insurance appeals, administrative hearings, or other matters governed by specific federal or state law.
To the extent permitted by law, users waive the right to participate in a class or representative action relating solely to website use or administrative services.
If any portion of this section is found unenforceable, the remaining portions will remain effective to the fullest extent permitted by law.
16. Changes to These Terms
LoDo Pain may update these Terms periodically to reflect changes in services, insurance participation, operations, or legal requirements.
The revised Terms will be posted on this website with an updated effective or revision date. Continued use of the website after an update constitutes acceptance of the revised Terms to the extent permitted by law.
17. Severability
If any provision of these Terms is determined to be invalid or unenforceable, the remaining provisions will continue in effect to the fullest extent permitted by law.
18. Contact Information
For questions regarding these Terms, please contact:
LoDo Pain, LLC Email: info@lodopain.com