FINANCIAL POLICY
Welcome to our facility. We hope that your visit will be a pleasant one. Our financial policies have been developed in an effort to remove any misunderstanding that may arise regarding a patient’s account. These policies are also designed in an effort to enable us to continue providing quality, state-of-the-art patient care in a cost effective manner. If you have any questions or do not understand any of these policies, please feel free to ask.

REGISTRATION
Upon your initial visit to Patient Services Representative will collect your billing information, as well as other information. This information will include address, telephone number, social security number, birth date, insurance information, employer information, emergency contact information, and other similar information. It is extremely important that this information is kept up-to-date. At each subsequent visit, the receptionist will verify most of this information when you arrive for your appointment.
PAYMENT FOR SERVICES
Payment for services provided to you is ultimately your responsibility. For your convenience, we accept cash, personal checks, Visa, MasterCard, and Discover. In addition, if you have health insurance, we will gladly file a claim with your health insurance company.

HEALTH INSURANCE –
If you will be using health insurance to settle your account, you will be asked to present your current insurance card at each visit. If your insurance has a co-payment or deductible, we will collect that amount at each visit

We will file an initial claim based upon the information that you have provided to us. Under state law, your insurance company has 30 days in which to process and pay the claim, request more information, or deny the claim and notify us of the decision. If they have not notified us within 90 days of the date of service, it will be assumed that your insurance coverage is no longer in force and the unpaid balance will be your responsibility.

SELF-PAY PLAN
If you are self-pay, you will be expected to pay the day’s charges on the day of the service. There may be additional charges for tests and other services rendered subsequent to your visit. You will be billed for these items. If you are having an office procedure, you will be expected to make mutually agreeable payment arrangements prior to receiving the service. If the service is considered elective, payment must be made in full prior to the services being performed.

AUTO INSURANCE/LEGAL CLAIMS
We Do Not Provide these Services

WORKERS COMPENSATION CLAIMS
We Do Not Provide these Services

BILLING STATEMENTS
We have designed our billing statements to reflect the individual charges billed, the payments and adjustments related to those charges, and the balance due. These statements will also reflect an amount due from you, as well as a balance due from your insurance company. Patients with a personal balance will receive a monthly statement showing the specific amounts due. These statements are due upon receipt. Because the posting of payments can sometimes be posted  days following the day of payment, you may receive a statement that does not reflect a payment that was made on the day of service or sent by your insurance company. If you receive subsequent statements, which do not reflect the payment, please contact a Patient Services Representative to investigate.

PAST DUE ACCOUNTS
Past-due accounts cost both time and money; therefore, patients with delinquent accounts will be required to make payment at the time of service. If you are unable to make mutually agreeable payment arrangements, we will be glad to reschedule your appointment.

PAST DUE 90+
Those accounts older than 90 days or those failing to honor agreed-upon payment terms will be sent to a collection agency. If your account is sent to a collection agency, you must pay all past due amounts before subsequent appointments can be scheduled. Additionally patients can be dismissed from our practice for financial matters and will have to seek their health care elsewhere.

BILLING QUESTIONS
Questions or concerns regarding your account or insurance claim should be directed to our Patient Services Department. These highly trained experts in insurance billing have been instructed to make every effort to clarify any misunderstanding or confusion you may have regarding your account. Please notify us immediately if you feel an error appears on your statement or if you have any questions or concerns.

Billing Department – (405)-207-9000

UNCANCELED APPOINTMENTS
Please give at least 24 hours’ notice (one business day) if you will not be able to keep your appointment. In the event that you do not provide an appropriate notice, a fee will be accrued on your account.