UC San Diego Shiley Eye Institute UC San Diego Shiley Eye Institute UC San Diego Shiley Eye Institute
by name
Afshari, Natalie A. Brown, Stuart I. Chao, Daniel L. Ferrara, Napoleone Ferreyra, Henry A. Freeman, William R. Goldbaum, Michael H. Granet, David B. Haw, Weldon W. Heichel, Chris W. Kikkawa, Don O. Korn, Bobby S. Lee, Jeffrey E. Lin, Jonathan H. Nguyen, Thao P. Nudleman, Eric Robbins, Shira L. Savino, Peter J. Slight, Rigby Weinreb, Robert N. Welsbie, Derek S. Zhang, Kang
by specialty
Comprehensive Ophthalmology Cornea & Refractive Surgery Glaucoma Neuro-Ophthalmology Ophthalmic Genetics Ophthalmic Pathology Ophthalmic Plastic & Reconstructive Surgery Optometry & Low Vision Pediatric Ophthalmology & Eye Alignment Disorders Refractive Surgery / LASIK Retina & Vitreous Thyroid Eye Clinic
by condition
AMD (Age-related Macular Degeneration) Cataracts Corneal Conditions Cosmetic Surgery Diabetic Retinopathy Eye Movement Disorders Glaucoma Hereditary (Genetic) Disorders Low Vision Neuro-Ophthalmic Conditions Ophthalmic Plastic and Reconstructive Surgery Pediatric Conditions Refractive Errors Retinal Diseases Thyroid Eye Disease

Patient Resources


 

Medical Records:

Requests for medical records must be made in writing. Please follow these steps.

1. Print out and complete an Authorization to Release Protected Health Information

Authorization to Release Medical Information (English)
Authorization to Release Medical Information (Spanish)

2. Mail your completed form to:

Shiley Eye Institute
Attn: Medical Records
9415 Campus Point Drive, MC 0946
La Jolla, Ca 92093-0946

OR

Fax it to Medical Records at 858-822-1849

A valid authorization MUST contain the following information or the request will be returned:

 

• Patient’s full name and date of birth (list any other names the patient may have had)

• Medical record number (if available)

• Specific information being requested (i.e., type of report/information and dates of service, etc.)

• Purpose for which the information may be disclosed (i.e., personal use, continuity of care, legal matter)

• To whom the information is to be sent (name and address)

• Specify authorization’s expiration date if desired (otherwise, the authorization will be valid one year from date signed)

• The patient’s signature or a patient’s legal representative’s signature. Authorizations signed by a representative must be verified. Please include a copy of one of the following documents indicating either:
•• Legal guardianship papers, or
•• Advance Directive/Healthcare Power of Attorney (Download in English | Spanish), for patients unable to make healthcare decisions, or
•• Designation of Personal Representative Form (Download in English | Spanish) which allows the representative to act on the patient's behalf with regard to personal health information.

• Please note that unsigned requests will not be processed

• Date of the signature

You may contact the Shiley Medical Records office by phone at 858-534-2219.

Insurance Coverage:


It is in your best interest to know and understand your plan benefits, as well as any deductible and co-payment amounts that you are responsible for paying. If you do not understand your coverage, we recommend you contact your insurance carrier. They should be able to explain if the service is covered or not. You can also contact a UC San Diego Health System financial counselor to review your benefits with you.

UC San Diego will make every attempt to ensure that the service(s) we provide has been authorized by your insurance prior to the service(s) being rendered. Not all insurance companies will provide a pre-authorization; therefore, it is UC San Diego Health System's expectation that you are familiar with your insurance benefits. If you are unsure of your medical benefits, call your insurance company to find out if the service(s) you need are a covered benefit. If authorization for service(s) is/are denied by your insurance carrier, we will inform you that authorization for medical service(s) were denied. You are financially responsible and will be billed for services not covered by your insurance.

Billing:


All charges for doctor visits and any other services you receive are sent to your insurance carrier as a claim. Unfortunately, we do not know in advance whether those services will be covered by your insurance. Claims that we submit to your insurance carrier are paid based upon your individual benefits. Your insurance carrier will not determine if a service is covered until they receive and process the claim.

Most health insurance claims are processed without problems. However, insurance carriers are becoming more watchful of costs. This sometimes results in services that were previously covered no longer being covered. Any non-covered services must be paid for by you. We recommend you call your insurance company, read your health care benefits coverage information carefully, and do your research so you understand what is covered under your plan.

If you have questions regarding your billing statements, call our customer service department at 619-543-3000, Monday through Friday between the hours of 8:00 a.m. to 4:30 p.m.

Search By Specialties

Specialties
Comprehensive Ophthalmology Cornea & Refractive Surgery Glaucoma Neuro-Ophthalmology Ophthalmic Genetics Ophthalmic Pathology Ophthalmic Plastic & Reconstructive Surgery Optometry & Low Vision Pediatric Ophthalmology & Eye Alignment Disorders Refractive Surgery / LASIK Retina & Vitreous Thyroid Eye Clinic

Appointments

To make an appointment, call
(858) 534-6290
All appointments are prioritized on the basis of medical need.

Directions

9415 Campus Point Drive
La Jolla, CA 92093-0946

Parking

Complete patient parking information available on the Contact Us page under Directions.

Whats Your Symptom Disclaimer

The information contained in this online site is intended to provide accurate and helpful health information for the general public. It is made available with the understanding that the author and publisher are not engaged in rendering medical, health, psychological, or any other kind of personal professional services on this site. The information should not be considered complete and does not cover all diseases, ailments, physical conditions or their treatment. It should not be used in place of a call or visit to a medical, health or other competent professional, who should be consulted before adopting any of the suggestions in this site or drawing inferences from it.

The information about drugs contained on this site is general in nature. It does not cover all possible uses, actions, precautions, side effects, or interactions of the medicines mentioned, nor is the information intended as medical advice for individual problems or for making an evaluation as to the risks and benefits of taking a particular drug.

The operator(s) of this site, and the publisher, specifically disclaim all responsibility for any liability, loss or risk, personal or otherwise, which is incurred as a consequence, directly or indirectly, of the use and application of any of the material on this site.

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