Our goal is to offer our patients quality health care services at affordable rates. You can help us by providing us accurate, up-to-date information about your third-party health care payers each time you visit the clinic. Please bring your current ID and insurance card to each visit. Carriers are often changing ID numbers, scope of covered services and pre-authorization requirements. Maintaining accurate information on your account helps reduce the administrative costs of the Clinic.
It is patient’s responsibility to verify that we are participants (in network) with his/her insurance plan.
The patient is responsible for co-pays, coinsurances and any other portion of the bill not covered by their insurance plan.
All elective procedures not covered by insurance must be paid in advance or on the day of service, unless payment arrangements have been agreed upon.
Any unpaid balances on your account are due within 30 days of service. Please contact us to make payment arrangements if you are unable to pay the remaining balance in full.
Statements
Statements are mailed monthly. The bill shows the name “Newton Medical Center Clinics” in the top left portion of the statement. All charges billed by the clinic will appear on one statement. Payments should be mailed to P.O. Box 307, Newton, Kansas 67114. You will receive separate bills from Newton Medical Center for charges for any laboratory, X-ray or specialty testing that is performed at the hospital, day surgery, procedures or hospitalizations. Please do not combine payment for your clinic charges with your hospital payments, as this may delay accurately posting your payments to the correct account.
Medicare
You will be responsible for the “Patient Responsibility” portion of the fee, as outlined on your Medicare Explanation of Benefits. You are also responsible for any services deemed “non-covered” by Medicare.
We will also file secondary insurance for services.
Billing Office Information
Payments should be mailed to Medical Plaza of Park City, P.O. Box 307, Newton, Kansas 67114. Our business office can answer your billing questions or make payment arrangements.
Medicaid
Current proof of active enrollment and co-pays must be paid at the time of service. The State of Kansas offers a number of different state-sponsored medical assistance plans with different co-pays and financial obligations for patients. Please contact SRS to obtain a clear understanding of the scope and limitations of the plan that you are currently enrolled in prior to seeking services.
Insurance
Filing Newton Medical Center will file your insurance claim for you. However, we must have a copy of your insurance card on file to do so.
When we file your claim, we will send you a summary of the charges being filed. We will ask your insurance company to send payment directly to Newton Medical Center. We allow your insurance company time to process and pay your bill. If payment has not been received in six weeks, you will be billed for the unpaid balance.
Payment Arrangements and Collection
It is your responsibility to make payment for services rendered.
If you are unable to make payment in full, it is important that you contact our billing office to make payment arrangements on your account. Anyone who is making regular payments on their accounts via a payment agreement will continue to receive all services provided by the Clinic.
If no payment is received, or if payments are untimely, a collection agency may be utilized. Only emergent care will be provided once your account is sent to the collection agency and your account remains unpaid. Once your account is paid in full, you again will have access to all of the services provided by the clinic as long as you continue to make your co-payments at the time of service and/or pay the entire cost of your self-pay appointment at the time of service.
Patients who have not made regular payments in six (6) months will be dismissed from the practice.
Workers’ Compensation Injuries
Reports of injuries occurring on the job, on company time or as the result of occupational circumstances are filed with the patient’s workers’ compensation carrier.
If you incur a work-related injury, you are required to provide Newton Medical Center with the name and address of your employer and to report the accident to your employer. Failure to do so may result in loss of benefits. Health insurance generally will not pay claims determined to be work-related.
Motor Vehicle Accidents
If you sustain an injury associated with a motor vehicle, you must provide the clinic with the name of your automobile insurance carrier.
Kansas law requires that reports on injuries occurring as a result of ownership, operation, maintenance or use of a motor vehicle be filed with a motor vehicle insurance company. Any claim for an injury arising from contact with a motor vehicle, even if the vehicle is not moving, must first be filed with your motor vehicle insurance company.
Most health insurance companies will not consider the claim until it has been filed with a motor vehicle insurance company.
Property Insurance
If you have tests performed or receive medical services because of an accident occurring on property owned by someone else, Newton Medical Center will obtain information about the accident.
Medicare and Medicaid require us to try to collect payment from the property owner, even if the owner is not negligent or responsible for the accident. Refusal to provide this information may result in Medicare or Medicaid denying payment of your claim.
Self-payment Accounts
Self-pay accounts are due at the time of services.
Self-pay patients will be asked to pay $75 at the time of their appointment, which will be applied to the actual charges for services provided and, as a courtesy, we will bill you for the remaining balance. It is the patient’s responsibility to contact the billing office if unable to pay the account in full.
The Clinic will provide information, upon request, regarding available community health care resources that may be available to patients who qualify based financial need.