No-Show

A $50.00 no-show fee may be applied to any patient’s account who no-shows or cancels less than 24 hours before their scheduled appointment time.

Co-payments and Deductibles

All co-payments are to be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud by the insurance company. Please help us in upholding the law by paying your co-payment at each visit. If your co-pay is not paid at the time of service, a service charge of $30.00 will be assessed to your account.

Non-covered services

Please be aware that some-and perhaps all- of the services you receive may be non -covered or not considered reasonable necessary by Medicare or other insurers. You must pay for these services in full at the time of each visit.

Nonpayment

If your account is over 30 days past due, you will receive a letter stating that you have 20 days to pay your account in full. Payment arrangements need to be made through our billing office at 583-7400 xt 315.

Claims submission

We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Your insurance benefit is a contract between you and your insurance company, we are not party to that contract.

Coverage changes

If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits allowed.

Medical Records

Patients requesting copies of their medical records must first sign a HIPAA compliant medical release form. If the medical records are going to another physician, this is done as a courtesy, there will not be a charge. If the medical records are going to the patient, there is a charge of 75 cents per page. Typically the turnaround time for medical records is 2-3 business days. Please be sure to call ahead if you are picking up your records.