Billing Policies

billing policies

RESPONSIBLE PARTY

The  parent/legal  guardian  bringing  the  child(ren)  into  the  office  will  be  considered  the responsible party for billing purposes.   If the parents are divorced or custody has been transferred to a legal guardian, the custodial parent/legal guardian who brings the child(ren) in will be responsible for the bill.  We do not get involved in billing disputes in cases involving divorce or separation, and will not split bills among family members.  Emancipated minors are responsible for their own bills.

CO-PAYS  

Your co‐pay is due at the time of your office visit.  If we have a contract with your insurance carrier, we are responsible for collecting the co‐pay and you are responsible for paying it at the time of service.

COURTESY CLAIM FILING

We will file your insurance claim with your primary insurance company as a courtesy to you. We will ask for your current insurance plan information at the time of each appointment.   Please bring your insurance card with you for every visit, and promptly inform us of any changes in your insurance coverage. 

INSURANCE OR PERSONAL PAYMENT

After filing your insurance, we will wait 60 days for a response.   If we receive no response from your insurance company, you will be personally responsible for the unpaid balance. You will then have 30 days after the receipt of your first statement to make the minimum monthly payment.  If you do not have insurance, you are expected to make payment in full at the time of your visit.

PAST DUE BALANCE

If your balance is over 60 days, you will receive an initial letter regarding your past due balances.  We ask that you call our Billing Department within 15 days of the date of the letter to set up a payment schedule.

PAYMENT PLAN

If you are unable to a pay your account in full, you may contact our Billing Department to discuss a payment plan. A payment plan means you will make your payment each month. If you are unable to do so, you will need to contact the Billing Department. Any new balances incurred after setting up your payment plan will not automatically be added to the payment plan.  You will need to contact the Billing Department regarding payment of these balances or to revise your payment plan.

MINIMUM PAYMENT  

A minimum payment of $50.00 or 20% of the outstanding balance (which‐ever is greater) is required on any outstanding balance or charge incurred.

COLLECTION AGENCY

You will receive a final notice prior to your account being turned to our collections agency, if you do not contact our office within 10 days following your receipt of your final notice your account will be turned to our collections agency.  Once your account is turned over to our collection agency, it is in their hands and we will not take the account out of collections.  All questions or payments should be sent to them.  We also reserve the right to terminate you from our practice.

NO SURPRISE ACT

The No Surprises Act limits out-of-network cost sharing under certain circumstances where surprise medical bills frequently occur. Rules implementing these protections became effective January 1, 2022.  The No Surprises Act has 3 general components: (1) a prohibition on surprise billing, (2) additional protections for uninsured or self-pay individuals, and (3) disclosure requirements applicable to all providers and facilities. Click here to review the disclosure requirements.

Please contact our billing office if you have questions about your account. We are here to serve you Monday through Friday, 8 a.m. until 5 p.m. You can contact our billing staff at 402-327-6010 and we will be happy to assist you.