Welcome to San Dimas Medial Group, Inc. The following is a brief description of our financial policy and we invite any questions you do not find answered here.
You will be given a number of forms to complete and sign before you see the provider of your choice. The forms are very important for your total health care and for the successful billing and collection of your insurance.
If you have insurance and we have a contract with your carrier, we will bill your insurance, provided we have your current insurance information and it is complete. We require the appropriate co-payment or deductible at the time of service. If your insurance carrier has not paid your balance within 30 days of billing, we will request your assistance in contacting them and require that you begin making monthly payments to eliminate the outstanding balance. Ultimately, you are responsible for the charges incurred for services rendered.
If you have a non-contracting insurance, we will still bill your insurance as a courtesy. Again, copays and deductibles are due at the time of service. If your insurance has not paid your balance within 20 days of us billing, you will be responsible for resolving the balance on the account.
For patients requiring Obstetrical/Pregnancy Care, your insurance will be verified on or before your first visit. A monthly payment plan will be prepared for you based on your insurance coverage. Payments will be required monthly and should end with your portion paid one month prior to your delivery date.
For patients requiring surgery, again your insurance will be verified prior to you scheduling your surgery. A payment plan will be prepared for you for your portion. In the case of elective surgeries, your portion must be paid prior to the surgery.
To ensure that your paperwork is processed as expeditiously as possible, please make sure the following insurance information is available at all times
- A current copy of your insurance card
- Your full name and address
- Policyholder's name and address
- Your relationship to the policyholder
- Contract number, certificate number and/or group number
- Name and billing address of insurance company
- Telephone number of insurance company
- Effective date of insurance coverage
It is your responsibility to inform us of any insurance changes. This is especially important if you have an HMO insurance. Often times your plan or coverage changes on a yearly basis.
We are Medicare providers and accept what Medicare allows as our payment in full after you have met your yearly deductible. Our insurance department will bill Medicare for you and any secondary insurance you may have on assignment. Payment for any non-covered services and/or supplies will be expected at the time of service.
Billing statements are mailed once a month for all outstanding balances. If your insurance has paid, or you have no insurance, the balance on this statement is due in full unless prior arrangements are made with your account coordinator. If your insurance has not paid within the required 30 days, this statement will provide you with the information you need to follow-up with the insurance carrier for payment.
Occasionally, circumstances arise that make the required payment on your account a severe hardship. Please do not ignore your bill. Contact your account coordinator as soon as possible to see what other arrangements can be made. San Dimas Medical Group, Inc, is willing to work with our patients whenever possible.
Should we receive your check back from the bank for non-sufficient funds or any other reason, there will be a $25 returned check fee. This fee, as well as the original amount, is due in our office within 10 days after notification. San Dimas Medical Group, Inc. does participate in the County of Kern Bad Check Enforcement Program and will pursue payment on any returned check that goes unpaid.
We hope this assists you in understanding our financial policies and invite you to ask any questions that may not have been addressed here.
