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We are committed to providing you excellent care. Since payment of your bill is part of your treatment, we want to be sure that our financial policies are clearly understood.

Payment is due at the time of service. Services not covered by insurance, including surgical assistants, deductibles, and co- insurance amounts, are due at the time of service. As a courtesy, we will submit your claim to your insurance company. Surgery deposits are required on all non-emergent procedures. Our deposits are based on estimates and patient responsibility may vary depending on the actual surgery/procedure and what your insurance pays. Payment of your account is your responsibility regardless of your insurance coverage. Your insurance is a contract between yourself and the insurance carrier. We are not a party to that contract. We do our best to verify your insurance coverage and benefits at the time of your visit, but it is your responsibility to check with your insurance provider to know what they cover and what providers are in your network.

If claims for services provided by ABJC Clinic are denied by your insurance company, you are responsible for payment. Responsibility for payment begins on the date that services are provided. Notification of any change in your insurance status must be provided to the office forty-eight (48) hours in advance of next visit, or payment in full will be required.

Surgery: Amarillo Bone & Joint Clinic strives to give you the most accurate surgery estimate based off the surgeon's anticipated procedure codes, your insurance benefits, and your insurance allowable. At times, due to findings during surgery, these procedure codes could change. These modifications could result in an additional balance. Final determination will be made by your insurance company.

Assistant Surgeon: To give you the level of care needed; your surgeon deems it necessary to have an Assistant Surgeon during your surgery. Insurance companies cover some of these charges, however some are deemed as non-covered services under your policy. If your insurance company denies the Assistant Surgeon charges, you will be responsible for the balance at a courtesy reduced rate.

Liability of Auto Accident Claims: We do not become involved in automobile or liability lawsuits, nor do we file liability claims or wait on “settlements”. You will be required to pay in full for services rendered. We will provide you with the necessary information to be reimbursed. You may contact the Billing Department for an itemization of your statement.

Workers' Compensation: We do not participate in Workers’ Compensation and are unable to file claims on your behalf. We do not see patients for any work-related injuries.

Refunds: Refunds will be assessed once all claims have processed on your account, and after you have been released from treatment from both the surgeon and Physical Therapy, if you are having physical therapy at ABJC.

Balance: If you have a balance remaining after your insurance carrier has paid, and for our patients without insurance, we offer the following options:

Extended Payment Plans: may be available upon application acceptance through Care Credit.

Short Term Payment Plans: may be available on balances and cannot exceed three months.

Financial Constraints: Patients who have other financial considerations should speak with our Financial Counselor for assistance. Our goal is to ensure that everyone in need receive appropriate care.

Accounts with a remaining balance where no resolution has been made in a timely fashion may be turned over to a collection agency.

I understand that I am financially responsible for payment of medical charges incurred on my behalf as outlined above.