TEXOMAUROLOGYCENTER
PHILLIP E. DOWD, M.D. J. STEPHEN DRYDEN, M.D. R. KYLE KING, M.D. MICHAEL W. TOULAN, M.D.
FINANCIAL POLICY
TexomaUrologyCenter is a private practice with four physicians. We understand that patients do not plan to be ill, and for a variety of reasons, this may cause financial hardships for patients and their families. We are not a bank and have monthly bills and employees to pay every month. We do not receive financial support from any source other than fees received for medical services provided to our patients. While we try to make it as easy as possible for patients to take care of their debts to our physicians, we cannot afford to stay open if patients do not pay for the services they receive in a timely manner.
Our financial policy is designed to provide a resource concerning your financial obligation for medical care provided by Dr. Dowd, Dr. Dryden, Dr. King, and /or Dr. Toulan. We join the patient in partnership to provide quality urological care through education and treatment.
PROFESSIONAL FEES - Our professional fees are in accordance with the customary charges of other Wichita Falls area specialists. Your insurance carrier may determine a fee based on their criteria; however, our fees are based on federal guideline calculations.
CREDIT POLICY - Our credit policy requires all charges to be paid at the time of service. As a courtesy to our patients, we will submit claims to your insurance company and bill you any difference after your insurance pays. If you have no insurance, all charges must be paid up front unless you have spoken with our collections manager to make arrangements for payment on these charges.
PAYMENT PLAN – In an effort to provide affordable healthcare, a payment plan is available through an agreement with the Business Office. Please contact Danette at 940/689-8765 to make arrangements.
COLLECTIONS –Patients who do not make reasonable progress toward retiring outstanding balance to these doctors may, at the sole discretion of the provider, be terminated from the practice. Furthermore, a collection agency may be utilized if your account is not paid in a timely fashion or arrangements for a payment plan have not been made with the Business Office.
CREDIT CARD PAYMENT -We offer Visa, MasterCard, American Express and Discover Card to assist in paying for your healthcare.
INSURANCE – If you have medical insurance, as a courtesy, we will file insurance claims (primary and secondary) on behalf of patients and will not bill the patient until after the insurer has either paid or denied our claim or 60 days has passed. When an insurance claim is denied, we will make reasonable effort to appeal those decisions when appropriate.
We will do all we can to expedite insurance reimbursement but you must realize however that:
1. Except as limited by law (i.e. Medicare or Medicaid patients) or by contract, any service not paid by an insurer is the responsibility of the patient. Your insurance is a contract between you, your employer, and the insurance company. We are not a party to that contract.
2. Not all services are a covered benefit in all contracts. Insurance companies decide what services are covered and what services are not covered. These non-covered services are your responsibility.
5500 KELL WEST BLVD., SUITE 200& 300 WICHITA FALLS, TX 76310 940/689-8765
3. Pre-authorizations of procedures may be required. This is your responsibility but we will assist as much as possible. If your insurance requires a referral, it is your responsibility to obtain the referral from your Primary Care Physician, as stated in your Group Insurance Employee Manuel.
4. The treatment of your minor child in this clinic will be the responsibility of the parent bringing the child in for the treatment. We will not bill the “father” if the mother brings in the child or the “mother” if the father brings in the child. THE PARENT BRINGING THE CHILD IS RESPONSIBLE FOR PAYMENT. We do not wish to get in the middle of the responsibilities of divorced parents.
Our relationship is with you, not your insurance company. While the filing of insurance claim is a courtesy we extend to our patients, all charges are your responsibility from the date the services are rendered.
NOT-SUFFICIENT FUNDS – A patient that remits a payment by check that is returned by our bank indicating “NOT SUFFICIENT FUNDS” will be notified and assessed an administrative handling fee of $30. Additionally, the patient will be required to pay these physicians by either cash or credit card for future medical services.
BILLING INQUIRIES – Billing or insurance questions and concerns are addressed by our billing department at 940/689-8771.
Dr. Dowd, Dr. Dryden, Dr. King, Dr. Toulan and their staff appreciate the opportunity to serve your healthcare needs and we are committed to providing the best care possible. If you have any questions or concerns, please call the office at 940/689-8765.
TEXOMAUROLOGYCENTER 5500 KELL WEST BLVD., SUITE 200, WICHITA FALLS, TX. 76310 940/689-8765