Providing Inpatient and Outpatient Pediatric, Adult, Geriatric, Obstetrics, and Endoscopic care for you and your family
Midlands Family Medicine
North Platte Clinic
611 West Francis St Suite 100
North Platte, NE 69101
New Office Policies effective January 1 2014
Midlands Family Medicine does everything possible to minimize the cost of medical care. You can help by following the payment policy we have set. For your convenience, we accept credit cards including Visa, Mastercard, American Express, Discover and debit cards both online through our website www.midlandsfamilymed.com and in the office.
Payment is expected prior to being seen
Payments of all copays, deductibles, and /or coinsurance are due at the time of service. If you have no insurance, $110 is the minimum required to be seen. For those with high deductible insurance plans, we will require an upfront charge of $100 per visit which will be applied to your office visit and your deductible. These amounts are initial payments and do not necessarily reflect the entire amount due from your office visit; the outstanding balance from the office visit can be paid at the time of the visit or can be billed to you. Upon reaching your full deductible or maximum out of pocket expenses for the year, please provide us documentation from your insurance company that these requirements have been fulfilled and subsequent visits for the calendar year will no longer require the payment amounts noted above. If you have a policy with a copay, your copay amount is the only amount due at the time of service and the $100 per visit amount does not apply to you.
We will continue to file all your insurance. If payment is not received from the insurance carrier or other responsible third party in 60 days, we have the right to bill you directly for all services. Please notify us immediately of any changes in your insurance.
If you are here as a result of a motor vehicle accident we require you to take all billing to your Auto Insurance. We will not hold claims more than 60 days while settlement is determined. If we do not receive payment in that time from insurance, you will be personally responsible for all charges and payments is required immediately.
MEDICARE / MEDICAID
We do accept Medicare assignment and will file all supplement insurances. As a Medicare patient you are responsible for your deductible, which we will bill you for after we have heard back from both insurances. Medicaid/ State of Nebraska/Arbor/Coventrycares, anyone of these will be verified through the websites. If they show no coverage, $110 payment will be required for the visit or you will need to reschedule until you have fixed your coverage.
Patients with an outstanding balance of 60days overdue must make arrangements for payments prior to scheduling appointments. We realize that people have financial difficulty. Please communicate with our billing and collection staff so that they may assist to create a financial plan for payments and therefore preventing your accounts from being turned over for professional collection.
Overpayment s will be refunded upon request to the responsible party within 30 days of our office confirmation.
Midlands Family Medicine is a Preferred Provider Organization for Medicare, UPREHS (Union Pacific Railroad Employees Health Systems), Blue Cross/Blue Shield, Midlands Choice, United Healthcare, and Mutually Preferred insurance companies.
Whatever insurance you may have, it is your responsibility to provide us with all group, policy, and individual identification numbers along with any required signatures so that we can bill your insurance correctly. Always bring your insurance card with you to ensure that you receive the benefits you are entitled to under your health plan. Please note that we will not bill your second or supplemental insurance unless we are a Preferred Provider Organization for that insurance company. If you will be filing your second insurance yourself, be sure to ask for a copy of the fee and diagnosis sheet for that day's visit. You will need this sheet to file your claim with your second insurance company.
DELAYS IN PAYMENT FROM YOUR INSURANCE COMPANY