Billing & Insurance
Although your insurance policy is a contract between you and the insurance company and payment for care is the patient's responsibility, Mowery Clinic wants to be your partner in this complex process. The Clinic's Insurance and Business Office staff will work aggressively on your behalf to assure that yourinsurer pays for all legitimate benefits.
Generally, we participate with:
Medicare - All Clinic physicians are participating providers with Medicare; we will electronically file all claims for you. You are responsible to paying the amounts applied to deductible and the 20% co-insurance and for those services not covered by the Medicare program. If you have Plan 65 (Blue Shield) or one of the many other Medicare Supplement plans, the secondary claims will also be filed electronically for you. You will not receive a statement unless there is a balance after Medicare has been processed.
Blue Shield - All Clinic physicians are contracting providers with Blue Shield. We will electronically file all claims for you and payment, if any, will be forwarded back to us. You will not receive a statement unless there is a balance after Blue Shield has been processed.
Other Commerical Insurance Carriers - We file claims electronically to almost all carriers. You may want to check with our Insurance Department to assure that we have correct and complete information necessary to file your claim. In the event you desire to file your own claims, please notify the Insurance Department. We are not able to file all special cancer insurance claims.
KanCare - The Pediatricians are contracting Primary Care Physicians and the Clinic's remaining physicians are specialists for the KanCare program. We file all KanCare claims for you. You must bring the current month's medical card with you to each visit. If you are in the process of applying for a medical card, advise the receptionist. Services not covered by KanCare will be the patient's responsibility.
Workers' Compensation and Accident Care
Please indicate when making an appointment and at registration that you are here for care due to a workplace illness/accident or any other type of accident, i.e. auto. Failure to do this may result in you claim being filed to the wrong company and denied by your regular health insurance carrier. The Clinic reserves the right to contact your employer prior to care for a work-related injury or illness.
Deductible, Co-Pays and Remaining Balances
You are responsible for meeting deductibles and for paying any portion of your bill not paid by your insurance carrier. If your insurance contract calls for a Co-Pay, it is due at the time of your visit. Many insurance companies require pre-authorization, second opinion and limited/pre-approved hospital stays. We will be glad to help you meet these requirements. However, we can not assume responsibility for your bill if they are not met. Please inform the nurse if your coverage has any of these limitations.
Payment and Collection Policy
Other clinics throughout the United States typically expect payment for all in-office provided medical services to be made at the time services are given. Mowery Clinic (except for insurance required time of service office co-pays) usually allows payment to be deferred until you receive your first statement. Payment for the full amount of your account balance is due and payable upon receipt of your statement. We realize that a person's current financial situation may sometimes not allow for their entire balance to be paid at one time. In such circumstances, appropriate alternative payment arrangements may be made by contacting the staff in our Business Office. Accounts will be considered delinquent if not paid within thirty (30) days of a statement or if any arranged payment terms with our Business Office staff are not honored. Interest, at the rate of ten percent (10%) per annum, will be charged on all account balances that are over 120 days old. The Clinic accepts Discover, VISA and MasterCard. The Clinic retains the right to request payment at the time care is provided for certain elective services and when an account is delinquent or has previously been in a non-current status. Delinquent accounts may be referred to an outside agency for collection.