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Insurance
Heartland Orthopaedic & Sports Medicine
Clinic, L.L.C.
participates with the following insurance carriers and
plans:
United Health Care - National Plan
Blue Cross Blue Shield
of Nebraska PPO
Medicare
Medicaid of Nebraska
Midlands Choice
(any participating carriers in network)
Mutual of Omaha
United
Health Care of the Midlands
United Health Care - National Plan
For you convenience we also
accept "VISA" and "MasterCard"
If your insurance carrier is not listed,
contact our office at 800.563.3320 or
our local number 402.721.0090
Patients are expected to pay for office charges at the
time services are rendered. This may involve payment
for office services provided, or payment of a co-payment
or deductible per your insurance agreement. We will gladly
supply you with receipts for reimbursement by your insurance
company. |
If you are covered by Worker's Compensation:
Be sure we have
your employer's full address. We will then bill your employer
for services rendered.
If you have Medicare:
We will submit
your claims for you and payment will come to us. You will receive
a monthly statement. If your secondary insurance is Medigap,
you will not need to submit.
If you have Blue Cross Blue Shield:
We will submit your claim, and insurance payment will come
directly to us.
If you have Medicaid:
We will file your claim
for services provided and accept their payment as payment in
full. You are responsible for the co-pay, payable at time of
service. You must present your current Medicaid card each month.
If you belong to an HMO:
You must have a signed authorization
prior to being seen. All services (office visit, x-ray, supplies)
and EACH VISIT must be authorized. You are responsible for
any co-pay, payable at time of service.
If you are involved
in litigation:
You are still responsible for payment unless
other arrangements are made. |
| For all other insurance, you will need to submit your
own claim for each office visit. A copy of the super bill
will be mailed to you. Simply attach this bill to your claim
form. |

Billing
Statements will be mailed to you once a month.
Finance charges begin on balances over 60 days old from date
of service, amounting to 16% annual charge. If your insurance
carrier does not remit full payment, the balance is your
responsibility.
If for some reason
you cannot pay your bill on time: please let us know and we will be happy
to work out a payment plan for you. If your account becomes past due: and you have not provided us with a valid
explanation of your failure to pay, we will take action to
recover money owed. If you are having difficulty in paying: please contact our business office.
We are available to help you with any questions
you might have concerning your insurance so you may receive
maximum benefit. |

Additional Policies
Prescription refills:
Medications may be prescribed at the
time of your visit. If future refills are needed, you may contact
our office during normal office hours. No narcotic refills
will be given over the weekend.
Work releases:
If you will
be off work temporarily due to your injury, or if you will
be returning to work with limitations, please obtain a work
release note prior to leaving the office.
Disability forms:
Disability forms are completed as a courtesy to the patient.
Be aware that these may take up to a week to be completed.
Please have your portion filled out. Results of tests (MRI,
arthrogram, etc.): Further diagnostic tests may need to be
ordered. It takes approximately three days for the results
to get back to our office. You will receive your results at
your next scheduled appointment. |
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Heartland Othorpaedic © 2008 |
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LEGAL DISCLAIMER By
using this site, you agree to abide by terms of use:This site is intended
for informational and educational purposes. It is not intended as a substitute
for professional medical advice, medical diagnosis or treatments of specific
medical conditions and will not be held liable for any action(s) taken
or not taken due to the information presented and obtained on this site.
All material presented here is intended for personal use only. Reproduction
of content in any form for any purpose (other than personal use) on this
site is not allowed without prior permission. Please do not use this
site for any other purposes other than what has been stated above.
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