Billing Information for Convenient Care and Urgent Care Patients
Helpful Information about Your Bill
Co-Payments and Deductibles
All co-payments and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud. Please help us in upholding the law by paying your co-payment at each visit.
We offer several convenient payment options, including:
- Money Orders
- Debit Cards
- Master Card
Please be aware that some, and perhaps all, of the services you receive may not be covered by Medicare or other insurers. You must pay for these services in full at time of service.
Proof of Insurance
All patients must complete our patient information form before seeing the doctor. We must obtain a copy of your driver's license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner you may be responsible for the balance of the claim.
We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request.
Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not a party to that contract.
If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits. If your insurance company does not pay your claim in 45 days the balance will automatically be billed to you.
If you have any questions regarding your account and/or statement, please contact our Convenient Care and Urgent Care Billing Department at (812) 485-7930, Monday thru Friday, 9 a.m. - 4 p.m.
If your account is 90 days past due, you will receive a letter stating that you have 20 days to pay your account in full. Partial payments will not be accepted unless otherwise negotiated.
Please be aware that if a balance remains unpaid, we may refer your account to a collection agency.
Hospital Inpatient/Outpatient Account
For questions about a hospital billing or a hospital inpatient account, please call St. Mary's Patient Accounts Department at (812) 485-4393 and someone will be happy to assist you.