Josephine Glaser, M.D.
Phone 618-659-2371 Anderson Medical GroupFax 618-659-2375
Seven 157 Center
Edwardsville, IL 62025
Office Policies
We would like to thank you for choosing Dr. Glaser as your primary care physician. As one of our patients we would like to keep you informed on our current office and financial policies. We require that you read and keep this document for future references.
No Show Appointments- All patients are responsible for a $50.00 No Call No Show Fee for not cancelling appointments 24 hours prior to appointments. Termination of provider and patient relationship will result after the third occurrence. Reminder calls are completed prior to appointment as a courtesy however these calls are not mandatory and it is ultimately your responsibility to keep track of appointments.
Late Appointments-We will do the best we can at accommodating your late arrival. Please call ahead if you are running late and we can make you aware what accommodations can be made for you.
Copays- All copays are due at time of service. This charge is the responsibility of the patient along with coinsurance/deductibles.
Payments- In the event that you have a balance on your account due to co-insurance, deductibles, or non-covered services, monthly payments may be set up pending communication and approval with the office manager. Failure to pay account in full within the designated time will result in collection and possible termination.
Collection –In the event that the responsible party fails to pay balance on the account within three statements or 90 days, your account and other fees (including No Show Fees) will be referred to our collection agency. Letters are sent out as a courtesy prior to being sent over to our collection agency however, if there is no response in the designated time frame the account will be automatically sent on. The patient will pay all necessary costs of collection. At this point the relationship between provider and patient will be terminated.
Retuned Check Fees- There is a $25.00 minimum charge in the event that your financial institution returns a check to us. If a check is returned, the family will only be permitted to pay by cash, charge or debit on future visits.
Forms- There is a $25 fee associated with form completion. Office staff does not have the authority to alter, reduce, or change charges. Insurance companies do not reimburse for forms completed and the fee can not be billed to the patient. All form fees will be collected when forms are picked up.
Insurance Cards- Insurance cards are required to be present at the time of your appointment. You are responsible for any insurance changes, co-payments, co-insurance, deductibles or non-covered services.
Referrals- Most managed insurance plans require patients to obtain an insurance referral to be treated by a specialist. It is your responsibility to notify the staff of any up coming referrals that will be needed. The office will require a week advance notice to complete all referrals. All urgent referrals will be completed once immediate notification to the office is made. Failure to adhere to this may result in the delay of your referral and specialist appointment.
Emergency/Exchange- If you are experiencing a life threatening emergency please call 911 or proceed to your nearest emergency room. For less urgent medical problems, call the office. If it is after hours and your urgency can not wait until the next business day Dr. Glaser can be reached through the exchange. The exchange phone number is (618) 463-____. This number is also listed on our telephone message when you call the office.
Updated 1-1-18