Financial

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Thank you for choosing us as your child’s health care provider. We are committed to your child’s successful treatment. Please understand, just as our office has a responsibility to provide your child with quality medical care, you have a responsibility for prompt payment of treatment. The following is a statement of our financial policy, you can also print or view a copy of our full financial policy.

Financial Policy

(These files are provided in Adobe pdf file format. If you are unable to view these files, click here to download a free copy of the software.)

To view or pay your statement online, please log in to our patient portal

 

ASSIGNED GUARANTOR

The person who brings the patient to the office is responsible for paying any co-payment or co-insurance that may be due at the time of service. The billing statement will be sent to the house in which the patient resides. If payment responsibility has been otherwise designated, it will be the responsibility of the statement recipient to properly communicate to that party.

REGARDING INSURANCE

The balance is your responsibility whether your insurance company pays or not. We cannot bill your insurance unless you bring in all insurance information. If you do not have insurance, you will need to pay at the time of service.

We accept cash, checks, VISA, MasterCard and Discover.
Your co-payment is due at time of service as are any deductible and/or co-insurance payments.

USUAL AND CUSTOMARY RATES

Our practice is committed to providing the best treatment for our patients. We charge what is usual and customary for our area. You are responsible for payment, regardless of your insurance company’s arbitrary determination of usual and customary.

DEBT COLLECTION

Our practice makes every effort to collect what is owed to us, including engaging the services of a collection agency for bills that go unpaid. Referral to a collection agency may adversely affect your credit rating for years to come. Therefore, it is essential that you contact our billing department if you are unable to pay the full amount of your bill or if you have questions or concerns about your account.

Returned Checks

There will be $25 fee assessed on all returned checks. If a check is returned we will accept only cash, credit card, money order, or cashier’s check for all payments thereafter.

MISSED APPOINTMENTS/LATE CANCELLATIONS:

Broken appointments represent missed health care opportunities for your child and other children who could have been offered that appointment. Cancellations are requested 24 hours prior to the office visit or well visit appointment, 48 hours for consults and spirometry appointments. We reserve the right to charge for missed or late-cancelled appointments. Excessive abuse of scheduled appointments may result in discharge from the practice.

If you have any questions or concerns please contact our billing department at 918-392-1801.

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Appointment (918) 493-1114 | Nurseline (918) 493-1116 | If this is an emergency please call 911

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