Insurance

Insurance Department

As a courtesy and service for our patients, our Insurance Department is pleased to file a claim for your medical services and to assist you with coverage issues or denied claims.

We ask that you provide us with a copy of your insurance card to keep on file in our office. If your insurance number or policy changes in any way, we will need a copy of your new card.

Your insurance is a contract between you, your insurance company and possibly your employer. It is your responsibility to know and understand the level of services covered by your insurance company. If you have questions about you insurance coverage for the services you are scheduled to receive, please contact your insurance company .

Before receiving services, you must verify that we are participating providers for your insurance company. In the event we are not participating providers and the physician you are seeing is not listed with your insurance company, your insurance company will process your claim as “out of network”. “Out of network” payments by your insurance are less and will result in you being financially responsible for a larger portion of the charges for your services.

If you have healthcare coverage with a non-contracting insurance company and your insurance has not paid within 45 days, you will be sent a statement and the balance due will be your responsibility. Please contact your insurance company if you believe your insurance should have paid for the services.

Commercial Insurance

Your insurance company requires our office to have a One Time Authorization form signed by you authorizing us to file your claims and receive payment. We have the forms available at our business office or reception desk and on this website. If you change insurances, you may need to sign a new form.

We contract with and accept assignment with Blue Cross/Blue Shield and several other commercial networks. Please call your insurance company to verify participation.

Medicare

We automatically submit claims for Medicare. If you have a additional insurance we will submit it after Medicare has paid.

Your signature is needed to authorize us to submit your claims for you. A special Lifetime Signature form is available at the Medical Center and on this website.

We accept Medicare assignment. Therefore, payment from Medicare and your supplemental insurance will be paid directly to the Medical Center.

Medicaid Title XIX (19) & Title XXI (21) Medical Assistance

We accept patients with Medicaid Medical Assistance for Title XIX who have benefits with Kansas Medicaid, as well as patients with Title XIX or Title XXI who have benefits with Children’s Family Health Partners.

We automatically submit claims for patients with Medicaid. If you have Kansas Medicaid, you are required to show your monthly eligibility Medicaid card at the time of each visit -- as verification of your continued eligibility, and to make sure that we have your current Medicaid number. If you have Kansas Medicaid, you will also be asked to pay a $2.00 co-pay at time of service.

Patients covered by Children's Family Health Partners will be issued an Children's Family Health Partners insurance card, which you will need to bring at each visit (along with your monthly Medicaid card). If you have benefits coverage with Children’s Family Health Partners, the co-pay is waived.

We do not accept patients who have benefits coverage with UniCare.

You are responsible for payment of charges for elective surgeries, non-covered services and all charges incurred under a “spend down” arrangement. If you have other insurance coverage in addition to your Medicaid, you are responsible for notifying us and providing a copy of the insurance card.

Auto Accidents

For medical services covered by your automobile insurance, you must bring a copy of your personal auto insurance with you at the time of your appointment.

Disability

We will be happy to assist you in filing your disability insurance; however, there will be a fee for this service. Please allow 7 - 10 business days for completing your insurance forms.