Financial Policy of Whitman Medical Group

Financial Policy of Whitman Medical Group

Patients with Insurance

1. Please provide a copy of your insurance card at the time of your examination. We must verify the numbers and address on your card in order to bill your insurance. If this is your first visit, we will also need a Photo ID.
2. It is your responsibility to know your coverage benefits. Please contact your insurance company for benefits covered. For example, does your plan only cover well patient visits?
3. Please be prepared to pay your co-pay at each visit at the time of registration. We will not be able to see you for your appointment if your co-pay is not paid at the time of service. This is a part of your agreement with your insurance company and we are required by your carrier to collect upon receipt of services.
4. You are responsible to pay any additional amount owed as directed by your insurance carrier within 30 days of receipt of your first statement from us. Payment arrangements can be made with the billing department.
5. If you feel that your insurance company has processed your claim incorrectly, please let us know. We can send an insurance claim to be reviewed to ensure charges were billed correctly.

Medicaid Patients

We only accept patients with Washington Medicaid coverage who live in Whitman County. Whitman Medical Group must be assigned as your Primary Care Provider in order for us to see you. We do not accept Idaho or any other Medicaid program from another state.

Veterans Choice

All visits require that you obtain pre-authorization from your insurance plan. An appointment will not be scheduled without this.

Patients with no insurance

Payment is expected when services are rendered unless other arrangements have been made in advance.

Payment Options

You can choose from: Cash, Visa®, MasterCard®, American Express®, Discover Card®Care Credit ®

We offer a 10% courtesy accounting adjustment to patients who pay for their treatment with Cash or Credit Card prior to completion of care.

- Convenient Monthly Payment Plans from CareCredit

• Allow you to pay over time
• No annual fees or pre-payment penalties

If you are having difficulty paying your bill, we will make every effort to help you find a solution. However, if any balance remains on your account after 120 days, and payment arrangements have not been made with our billing department, your account will be turned over to our collections agency. Office policy states that if your account is in collection status you will be at risk of being discharged from our practice.

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Print Patient’s Name

DOB _____/______/______

PCP/Dr: ______