Our staff participates with many different types of insurance coverage, see the accepted insurances list here. You are responsible for supplying us with a current insurance card and your co-pay before each visit. Co-pays may not be billed to your account. If you do not have a current insurance card with you at your appointment and active coverage has not been confirmed through your insurance, it will be necessary for you to pay in full at the visit. Co-insurance and any deductible balances will be billed to you at the address on file upon receipt of payment from your insurance company.
You are responsible for understanding the limitations of your policy. If you do not understand your policy, please give your insurance company a call and speak with a representative.
We file with your insurance company promptly after each visit and allow 60 days for them to remit payment in full to the office. Should they not respond in the contract payment timeframe, deny your claim or fail to pay a portion of the charges you will be expected to make full payment for all non covered services to this office within 10 days of their response or 60 days from billing date. Our office will send a statement each month for any balance due by you as our patient; statements are not sent for balances under $25.00. You will be responsible for receiving an explanation of benefits from your insurance company and will need to dispute any coverage issues with them.
Payment in full will be required for each visit before you leave. You will be provided with a detailed itemization of charges at the time of payment for your visit. We offer uninsured patients a 30% discount off our services as long as all prior and current balances have been paid. In compliance with our contracted insurances, if you have insurance but wish to pay out of pocket for your visit, you will not be eligible for any discounts.
If you are a Medicare participant you are required to provide us with your Medicare card. As a participating provider, we accept assignment of Medicare claims and allow 45 days for them to remit payment in full to our office. Should they not respond, deny your claim or fail to pay a portion of your charges, you will be expected to make full payment to the office within 10 days of their response or 45 days from billing. You will be responsible for receiving an explanation of benefits from your insurance company.
As a courtesy to you, if you have a secondary insurance carrier and provide us with a current insurance card at the time of service, we will gladly file the secondary claim for you. If your secondary does not remit payment within 30 days, the balance is your full responsibility and due at that time.
Motor Vehicle Accidents (MVA)
Our Providers do not treat patients for motor vehicle accidents (MVA). For MVA's you should seek initial care from an emergency room or minor emergency clinic where the medical staff will be able to properly assess your injuries and provide an x-ray if needed.
If the E.R. has requested a follow up appointment with your primary care doctor, established patients may schedule an appointment with our office. You will need to provide us with the hospital or clinic name and date of service of your initial treatment in order for our office to request your medical records.
We do not file insurance claims for MVA's and payment in full will be required at the end of your visit. All follow up appointments relating to your MVA must also be paid in full at the time of service. You will be provided with a detailed itemization of charges at the time of payment for each visit. If you wish to file a claim with your insurance company it is your sole responsibility to do so.
Work Related Injuries
Our Providers do not treat patients for work place or work related injuries. For these injuries you should speak to a workman's comp representative within your company to find an appropriate healthcare provider or seek care at an urgent care facility.
Statements for all account balances incurred over the amount of $25.00 are mailed to the guarantor* address on file monthly until payment has been received. Balances may be paid with a credit card by phone at no additional charge. For balances $25.00 or less, payment is requested when you receive the explanation of benefits from your insurance company. You will be notified at the time of scheduling if there is any balance due on your account. If your account is in good standing, payment may be collected at check-in for your next appointment. If you are unable to pay your balance in full, please contact the office as soon as possible at (512) 250-3900 to make monthly payment arrangements. If your account is turned over to collections for non-payment, no further appointments or prescriptions will be authorized until all balances on the entire account (guarantor and applicable dependents) have been paid.
*Please be aware for all dependents, the signed Guarantor on file is financially responsible for their account, this person may be different than the Insurance Policyholder.