Contracted Insurance Companies

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 services rendered.

Non-Contracted Insurance Companies

If you have a non-contracting insurance, we will still bill your insurance as a courtesy.  Again, co-payments and deductibles are due at the time of service.  If your insurance has not paid your balance in 30 day of our billing, you will be responsible for resolving the balance on the account.

No Insurance/Cash

Medicare

We are Medicare providers and accept what Medicare allows as our payment in full - less any coinsurance or remaining deductible.  Our insurance department will bill Medicare for you as well as 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.

Obstetrical-Prenatal Care and Delivery

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.

Gynecological-Surgery

For patients requiring surgery, again your insurance will be verified prior to your scheduling of 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

Billing Statements

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.  Please note that we accept most credit cards as an option for making payments.
Occasionally, circumstances arise that make the required payment on your account a severe hardship.  Please do not ignore your bill.  Contact our 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

Returned Checks

Should we receive your check back from the bank for insufficient 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.

Failed Appointment Charges

Other Information

Over the past years, the federal government has implemented a number of regulatory guidelines regarding billing practices by physicians.  These stringent guidelines are monitored through the Department of Health and Human Services Office of the Inspector General (OIG).  As a health care provider, San Dimas Medical Group, Inc. has chosen to adhere to the OIG regulations, consequently, we do not offer a “professional courtesy” (i.e., waiving of co-payments or deductibles) to any patient.  We have an established fee schedule and we adhere to it.