Insurance and Financial Policy

We have prepared the following information to assist you in understanding the financial part of your medical care. If you have questions after reviewing our policy, please contact our Business Office at 868-9502. If you have a procedure at the Oregon Endoscopy Center or Sacred Heart Medical Center at Riverbend you will be receiving a separate billing from them for the facility fee. This is separate from the physician’s bill.

INSURANCE CLAIMS

Our office will bill most insurance companies. It is very important to provide our office with accurate, up to date, insurance information. We ask that you bring into our office your most current insurance card at the time of your visit.

Secondary insurance companies will be billed provided we receive a check from the primary insurance company and a copy of the “Explanation of Benefits”. Upon receipt of this information we will bill the secondary insurance company.

We are participating providers for Medicare. You will be responsible for any deductibles that have not yet been met or a service that is denied or not covered by Medicare. As participating providers we accept assignment and you will be responsible for the twenty per cent (20%) of approved charges.

Many patients are enrolled in Managed Care Products. In order for us to obtain referrals and/or pre-authorizations for procedures, it is most important that we have your most current information. Depending on individual policies, your procedure may not be a covered benefit. Please be aware it is the patient’s responsibility to check their policy. Contact your insurance company for questions regarding your coverage.

Insurance coverage is an agreement between you and your insurance carrier. The amounts they pay toward your medical care depend upon your policy. Our office is not responsible for collecting insurance monies or negotiating a settlement on a disputed claim. It is the responsibility of the patient to pay for the medical services provided you within the limits of our credit policy.

All insurance co-payments are due and payable upon the time of your office visit.

We require seventy two (72) hour notice for cancelled or rescheduling of appointments. An administrative fee may be imposed for patients that do not adhere to this policy.

FINANCIAL POLICY

We understand that financial circumstances vary from patient to patient. Payment options have been established to assist you in covering the cost of your health care.

To keep your account current, the following policies have been established for our patients:

1. If an insurance company will not be billed, the following is required prior to your visit.

$25.00 deposit for Office Visit
$50.00 deposit for Procedures
2. All charges are due and payable within 30 days of receipt of the statement. This does not include co-payments, which are due at the time of service.
3. Budget payments are available upon request. We reserve the right to charge interest of 1.5% per month or 18% per annum on all balances outstanding for 30 days or more.

Monthly Payment Schedules

1. If you are unable to meet your regular scheduled monthly payment contact the Business Office at 868-9502.
2. If no payment has been received and no financial arrangements have been established in forty five (45) days your account will be pulled and discussed with the physician for further action.
3. Your account will be charged a service fee of $25.00 for all checks returned by the bank.
4. In the event your account gets assigned to a collection agency, our office charges an Adminstration Fee of $50 per visit prior to assignment.
5. No refunds will be issued for $5.00 or less on your account.

Inquiries

For questions relating to your account, please contact our Business Office 868-9502. The office is willing to assist you in keeping your account current.