We are doing everything possible to hold down the cost of medical care. You
can help a great deal by eliminating the need for us to bill you. The following
is a summary of our payment policy.
ALL PAYMENT IS EXPECTED AT THE TIME OF SERVICE
Payment is required at the time services are rendered unless other
arrangements have been made in advance. This includes applicable
coinsurance and copayments for participating insurance companies. The
Clopton Clinic accepts cash, personal check (in-state only), VISA, and
MasterCard, and CareCredit. There is a service charge of $25.00 for returned
checks.
Patients with an outstanding balance of 60 days overdue must make
arrangements for payment prior to scheduling appointments. We realize that
people have financial difficulty. Therefore, we want to try to work with each
patient to find the best payment option available.
INSURANCE:
We bill participating insurance companies as a courtesy to you. It is the
patient’s responsibility that all insurance information is correct and is given at
the time of service. You are expected to pay your deductible and copayments
at the time of service. If we have not received payment from your insurance
company within 90 days of the date of service, you will be expected to pay
the balance in full. You are responsible for all charges.
We do bill secondary and tertiary insurance companies as a courtesy. It is
the patient’s responsibility to notify at check-in on the date of service of a
secondary or tertiary policy and to give all information at that time. Clopton
Clinic is not responsible for collecting insurance information after the date of
service. The amount will be billed to patient if information is incorrect or is
not given.
If you are seeing the physician for a WELLNESS visit, please notify
check-in. We will not re-file insurance claims in order to receive
wellness benefits. This would be considered fraudulent billing
subject to fines and penalties.
If you need assistance or have questions, please contact the Business Office
between 8:00 a.m. and 4:30 p.m., Monday through Friday at (870)932-
1198.
MOTOR VEHICLE ACCIDENTS:
Only established patients will be seen for Motor Vehicle Accidents. Patients
must provide all information to billing, which includes insurance information,
claim number, etc.
MANAGED CARE:
If your insurance requires a referral or authorization to see a specialist, it is
your responsibility to obtain the proper requirements or the appointment will
be rescheduled until all requirements are met.
REFUNDS:
Overpayments will be refunded upon written request to the responsible party
within 30 days.
MISSED APPOINTMENTS/LATE CANCELLATIONS:
Broken appointments represent a cost to us, to you and to other patients
who could have been seen in the time set aside for you. Cancellations are
required 24 hours prior to the appointment. Clopton Clinic reserves the right
to charge your account for missed or late-canceled appointments. Excessive
abuse of scheduled appointments may result in discharge from the practice.
