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Insurance and Billing

 

We do accept most commercial insurances to accept assignment of benefit and contracted rates. Please have your card with you at the time of your visit. We will scan your insurance card, take a picture of your child/children and import any paper work into your child’s/children’s electronic medical records.  It is your responsibility to notify the front desk about any changes in your demographic information (new phone numbers, new address, new insurance etc).  We offer discounts to our patients that do not have insurance.  If we file your claim, you are responsible for only the co-pay at the time of visit and any unpaid balances. If you receive a “private pay” discount,  you cannot submit charges for reimbursement to your insurance company.  This is considered fraud.

 

Every attempt will be made to verify your insurance benefits and eligibility prior to your appointment time.  In the event we are unable to do so, the guarantor will be responsible for payment at the time of service.  You will be given the appropriate paper work to submit to your insurance company for reimbursement. 

 

If we are not a provider for your insurance, if you are not insured or we do not file with your insurance company, you may be responsible for the entire charge at the time of service.

 

An administration fee of $15.00 will be assessed to all statements if you do not pay your financial responsibility at the time of service and/or a payment plan has not been established.  If 3 statements need to be sent because of non-payment you will be given a 10 day notice for demand of payment.  Unfortunately your account will be turned over to a collection agency unless you call the office to make payment arrangements.  They will assess a 33% service charge to cover collection fees.

Below is a list of insurances that we currently accept:
     Aetna
     Baptist PHO
     Blue Cross/Blue Shield
     ChoiceCare
     Community First
     First Health
     Great West
     Humana
     Methodist Healthcare Alliance
     PacifiCare
     PHCS
     San Antonio Employers Health Alliance
     Texas True Choice
     Tri-Care
     United HealthCare
     WellMed