Billing Information

Insurance

It is the patient’s responsibility to provide the business office with accurate insurance policy information. Please bring your insurance, Medicaid and/or Medicare card to your appointment.

Patients with supplemental insurance need to provide policy information to the business office. We will submit claims to your insurance company as a courtesy however, the account balance is ultimately the patient’s responsibility.

Fees

Fees for professional services, laboratory, x-ray and other special services are based on the services provided. All co-payments and deductibles are due at the time of service, as well. For patients without insurance, payment plans are available.

Billing

Billing statements are sent out once a month. All charges are due and payable within 30 days of the billing date.

If you receive care for a work-related injury, please notify the receptionist when you arrive for the appointment. We will need to obtain employer information for billing purposes.

Our providers are participating with a variety of health plans. If you have any questions please call 507-831-1703. We will be happy to help you.

Patient Payment Information form
You may complete the form on-line, print it and mail it to the clinic or bring it with to your appointment.