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Phone:
806-242-2664

Toll Free:
1-800-668-9645

Fax:
806-242-2670


Prompt Orthopedic Clinic

1100 S. Coulter St.
Amarillo, Texas 79106

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How to Register:

- Welcome Letter
- Notice of Privacy Information      Practices - PDF
- Patient Form - PDF
- Acknowledgement of Receipt of      Notice of Privacy Pract. - PDF
- Authorization for the Disclosure      of Health Information - PDF
- Patient History Form - PDF
- Participating Insurance Plans
- Financial Policy
 
 

Financial Policy

Download a PDF of the Financial Policy

The physicians of Amarillo Bone and Joint are dedicated to providing you with the best possible care and service, and regard your understanding of our financial policies as an essential element of your care and treatment. To assist you, we have the following financial policy. If you have any questions, please feel free to discuss them with our staff.

YOUR INSURANCE
You, as the responsible party, must furnish our office with up-to-date insurance information. A copy of your insurance card will be made. Report any changes in insurance coverage immediately upon arrival.

WE ARE A SPECIALIST PRACTICE. IF YOUR INSURANCE PLAN REQUIRES A REFERRAL FOR YOU TO COME TO OUR OFFICE, YOU ARE RESPONSIBLE FOR OBTAINING THAT REFERRAL. FAILURE TO DO SO MAY MEAN THAT YOU WILL NOT BE SEEN UPON ARRIVAL IN OUR OFFICE.

We are contracted (participating) with many health plans. If your plan is one of those, we will collect any required copays when you arrive for your appointment. Our office will file a claim with your insurance for the day’s charges. Any amounts that you are responsible for once your insurance has paid, will be billed to you. In the event your insurance determines services to be “NON COVERED”, you will be responsible for the complete charge. Payments are due upon receipt of a statement from
our office. If you have insurance coverage with a plan with which we do not participate, as a courtesy, we will prepare and submit the claim to your insurance carrier. In order for the doctor to receive payment directly, you must have a signed “Assignment of Benefits “form on file. If your annual deductible and out-of-pocket maximum have not been met, we expect payment on the
date of service. Any balances are your responsibility and due upon receipt of a statement from our office. We will also bill your health plan for all services provided in the hospital. Any balance due is your responsibility and is due upon receipt of statement from our office.

MEDICARE
Medicare patients are responsible for their annual deductible, co-payments and charges for non-covered services.

SELF-PAY PATIENTS
Patients without insurance are offered a 20% discount if payment is made at check-out on the date of service. Acceptable forms of payment are cash, check, and all major credit cards.

MINOR PATIENTS
An adult must accompany minor patients in order for treatment to be rendered and to provide insurance information. The adult accompanying the minor child is responsible for payment if the patient is uninsured.

MOTOR VEHICLE ACCIDENTS
Based on your individual auto plan, we will bill it accordingly; however any balances not covered by your auto insurance are your responsibility.

PAST DUE ACCOUNTS
Accounts not paid in a responsible manner will be referred to an outside agency for collections and will reflect on your credit rating. In the event the account is sent to collection, you will be responsible for attorneys’ fees, if applicable. Please call our Business Office at (806) 468-9700 if you have financial issues and wish to set up a payment plan. You will be able to make monthly payments toward your balance and avoid the collection process.


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