CNSA Billing Policies & Information
Important Billing Changes at CNSA
Atrium Health and Carolina NeuroSurgery & Spine Associates (CNSA) are strengthening our partnership. We are now one team – creating the Triad and 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.
Greater Charlotte Area Patients
Patients can manage billing and payment for CNSA and Atrium Health in one of two ways:
- Using the 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 are automatically paperless and accessible electronically through MyAtriumHealth. You can also choose to opt out of paperless billing.
We’re here to help?:
- Call 844-440-6536 with your billing questions.
Greensboro & Greater Triad Area Patients
Bills for services provided on or before May 1, 2026, 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 May 2, 2026, 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 May 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 May 1, 2026, call 704-376-1605 with billing questions.
- For services on or after May 2, 2026, 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.





