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Billing Policies & Information

Greater Charlotte Patients: Important Billing Changes at CNSA

With 80 years of shared expertise, Atrium Health and Carolina NeuroSurgery & Spine Associates (CNSA) are strengthening our partnership. We are now one team – creating the Greater Charlotte region’s most comprehensive neurosurgery and spine program. For more information about this innovative partnership, please visit CNSA.com/NowOneTeam.

We’re updating our billing process to make it easier for you to manage. As we move to our new process, you may need to pay your bill(s) differently.

  • Bills for services provided on or before Oct. 1, 2025, will continue to be issued by CNSA and must be paid online or by sending a payment to the address listed on the statement
  • For services provided on or after Oct. 2, 2025, patients can manage billing and payment for CNSA and Atrium Health in one of two ways:
    • Using the new patient portal, MyAtriumHealth, to opt in/out of paperless billing, make payments and request itemized bills.
    • Sending a payment to the address listed on your statement

All billing statements for services received on or after Oct. 2, 2025, are automatically paperless and accessible electronically through MyAtriumHealth. You can also choose to opt out of paperless billing.

We’re here to help with your questions:

  • For services on or before Oct. 1, 2025, call 704-376-1605 with billing questions
  • For services on or after Oct. 2, 2025, call 844-440-6536 with billing questions

Billing Policies

Refund Policy
Patient refunds are processed twice per month. Accounts will be reviewed and credits will be applied to any outstanding balance if applicable.  Refunds will be issued in the form of a check.

Return Policy
Durable Medical Equipment (braces, splints, etc) and supplies are non-returnable. Once supplies leave our building, they cannot be reissued to another patient.

Cancellation Policy
Patients who cancel their appointment with less than 24-hour notice will be considered a “No Show,” may be subject to a $50 rescheduling fee and possibly dismissed from the practice. The rescheduling fee is the sole responsibility of the patient and must be paid in full before an appointment will be rescheduled.

Timing
Payments will be posted to your account the next business day.