Wilson Interventional Clinic, P.A. Microinvasive Alternatives to Surgery
Microinvasive Alternatives to Surgery
Billing Information
Thank you for choosing our practice. We are committed to the success of your treatment and care. Our Patient Financial Policy.
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The clinic is staffed Monday through Thursday. If you have
any questions or need more information, please feel free to call: 870-425-3737.
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Baxter Regional Medical Center

Billing Information

Patient Financial Policy

Thank you for choosing our practice! We are committed to the success of your treatment and care. Because patients have told us they want to know our financial policies prior to consultations and procedures, we have outlined them below. If you need further information about any of these policies, please ask to speak with a Billing Representative at our business office: 870-425-6322.

How May I Pay?
We accept payment by cash, personal checks and Visa & MasterCard.

Do I Need A Referral?
If you have an HMO plan with which we are contracted, you need a referral authorization from your primary care physician - this is also true for Medicare HMO plans. If we have not received an authorization prior to your arrival at the office, we have a telephone available for you to call your primary care physician to obtain it. If you are unable to obtain the referral at that time, you will be rescheduled or may pay out-of-pocket for the visit.

Please check with your insurance company for provider participation.
Call your insurance company to ensure that they will cover treatment through Wilson Interventional Clinic, P.A.

What Is My Financial Responsibility for Services?
Your financial responsibility depends on a variety of factors, which are outlined below.

Financial Responsibility - Office Consultations and Services
 

If You Have... You are Responsible for... Our Staff Will...
Commercial Insurance
(Also known as indemnity insurance or "80%/20% coverage.”)

For office services:
All applicable copays and deductibles will be requested at the time of the office visit.

If the physician recommends a procedure:
We will estimate your coinsurance payment and provide this information to you. A deposit will be requested prior to scheduling the procedure.
 

Call your insurance company ahead of time to preauthorize any procedure to be performed.

File an insurance claim as a courtesy to you.
Contracted HMO & PPO plans

If office services/tests are covered:
All applicable copays and deductibles are requested at the time of the office visit.

If the physician recommends a procedure that is covered:
We will estimate your coinsurance payment and provide this information to you. A deposit will be requested prior to the procedure.

If the test or procedure recommended is not covered by the plan:
Payment in full is requested prior to the procedure.
 

Call your insurance company ahead of time to preauthorize any procedure to be performed.

File the insurance claim on your behalf.
Non-Contracted and Out Of Network Plans

For office services:
Payment of unmet deductible and full visit charges will be requested at the time of the visit.

For tests and procedures:
We will estimate your payment and provide this information to you. A deposit will be requested prior to the procedure.

Call your insurance company ahead of time to preauthorize any procedure to be performed.

File an insurance claim on your behalf.
 

Regular Medicare

For office services:
Your $100 deductible (if it has not been met) will be requested at the time of service. If you do not have secondary coverage, we will also request your coinsurance be paid.

For tests and procedures:
We will estimate your payment and provide this information to you. A deposit will be requested prior to the procedure.
 

Call your insurance company ahead of time to preauthorize any procedure to be performed.

File the claim on your behalf, as well as any claims to your secondary insurance.
Participating Medicare HMO

For office services:
Your copay will be requested at the time of the visit.

For tests and procedures:
We will estimate your coinsurance payment and provide this information to you. A deposit will be requested prior to the procedure.

Call your insurance company ahead of time to preauthorize any procedure to be performed.

File the claim on your behalf, as well as any claims to your secondary insurance.
No Insurance

For office services:
Payment in full is requested at the time of the visit.

For tests and procedures:
We will estimate your payment and provide this information to you. A deposit will be requested prior to the procedure.

Work with you to settle your account. Please ask to speak with our staff if you need assistance.

 
Wilson Interventional Clinic, P.A.
628 Hospital Drive, Medical Arts Bldg. Suite 3-D • Mountain Home, Arkansas 72653
Phone: (870) 425-3737 • Email: info@wilsonclinic.com

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Physician & Staff | M.B. Wilson, M.D. | Patient Forms | Billing Information | Office Procedures | Contact Us

    
Home Location Procedures and Treatments Physician and Staff Dr. Matthew B. Wilson, M.D.