Billing & Insurance

Carolinas Pain Institute has contracts with the insurance carriers listed on this page under “What insurances does CPI accept?”. We will file your claim even if your insurance provider is not on this list, but please check with your insurance company to verify out-of-network benefits before making an appointment.

Common Questions

Why does Carolinas Pain Institute require a referral even if my insurance provider does not?

We require a referral from your primary referring physician because we are a referral-based office. This means that our physicians review your completed application and  medical records to ensure that your needs can be addressed by the services provided by Carolinas Pain Institute.

What insurances does CPI accept?
• AETNA
• BLUE CROSS & BLUE SHIELD
• CIGNA
• CIGNA HEALTHSPRING
• CHAMP VA
• HUMANA
• MEDICARE
• MEDICAID OF NORTH CAROLINA
• MEDICAID OF VIRGINIA
• MEDCOST (EXCLUDING WAKE FOREST SELECT)
• BLUE MEDICARE
• RAILROAD MEDICARE
• TRICARE/CHAMPUS
• UNITED HEALTHCARE
• US DEPARTMENT OF LABOR
• VETERANS ADMINISTRATION
• ALL NORTH CAROLINA WORKMANS COMP

Please contact our insurance specialists with any insurance related questions at 336-765-6181.

Please contact our billing office with inquiries about an existing bill or to make payment arrangements at 336-765-6181.

Key Treatments We Offer

Injection Treatments

Local anesthetics (such as Novocain®), with or without cortisone-like medicines, can be injected around nerve roots and into muscles or joints. These medicines reduce swelling, irritation, muscle spasms and abnormal nerve activity that can cause pain.

Nerve Blocks
Often a group of nerves, called a plexus or ganglion, that causes pain to a specific organ or body region can be blocked with local anesthetics. If successful, another solution that numbs the nerves can then be injected.
Physical Therapy
The physician may suggest an exercise program tailored for you that will increase your daily functioning and decrease your pain. Other treatments may include whirlpool therapy, ultrasound and deep-muscle massage.
Electrical Stimulation
Transcutaneous electrical nerve stimulation (TENS) is the most common form of electrical stimulation used in pain management. It is not painful and does not require needles or medicine. TENS consists of a small, battery-operated device that can diminish pain by stimulating nerve fibers through the skin.
Psychological Support
Many patients who are in pain feel the emotional effects of suffering along with the physical aspects of pain. These may include feelings of anger, sadness, hopelessness or despair. In addition, pain can alter one's personality, disrupt sleep, interfere with work and relationships and often have a profound effect on family members. Support and counseling from a psychiatrist or psychologist, combined with a comprehensive pain treatment program, may be needed to help you manage your condition. These trained professionals also can teach you additional self-help therapies such as relaxation training or biofeedback to relieve pain, lessen muscle spasms and reduce stress.
Biofeedback and/or Relaxation Therapy
This is often used as a therapy to help patients manage their pain. The patient will be referred to a licensed psychologist that has a background working with chronic pain.
Surgery

When necessary, surgical treatment may be recommended. In rare instances when severe pain has not responded to other treatments and procedures, surgery on certain nerves can be done to give the patient some relief and allow them to resume near-normal activities. Usually all other avenues of treatment are tried before surgery is considered. Spinal cord stimulator (SCS) implantation, cryotherapy, permanent epidural or intrathecal catheter placement, radiofrequency, discography, neurolytic procedures, kyphoplasty, biacuplasty and spinal endoscopy (epiduroscopy) are some of the  interventional therapies that are used as treatments for chronic pain.