Insurance & Billing

Thank you for choosing our practice! We are committed to the success of your medical treatment and care. Please understand that payment of your bill is part of this treatment.

For your convenience, we have answered a variety of commonly asked financial policy questions below. If you need further information about any of these policies, please ask to speak with a Reimbursement Specialist at 417-631-0450.

What Insurance Plans Do You Accept?



Springfield Neurological ans Spine Institute participates with several insurance plans. The following are a few of the most common insurance plans in which we participate.

  • Anthem Blue Cross Blue Shield
  • Blue Choice
  • Cox Health Plans
  • Great West Health Plans
  • Medicare
  • Private Health Care Systems (PHCS)
  • United Healthcare
  • Workers Compensation

If you do not see your insurance company listed above, one of our insurance specialists would be happy to assist you.

How May I Pay?

  • We accept payment by cash, check, VISA, Mastercard, or Discover.

Do I Need A Referral?

  • For most insurance plans, a referral is not required.
  • If you have an HMO plan, you may need a referral authorization from your primary care physician. Please contact your insurance company or our office if you have questions regarding a referral.

What If I Need To Have Surgery?

  • Surgical patients will receive a surgery consult prior to scheduling surgery. At that time, we will counsel you on your expected surgical costs and insurance benefits you can expect to receive.

What If My Child Needs To See The Physician?

  • A parent or legal guardian must accompany patients who are minors on the patient's first visit. This accompanying adult is responsible for payment of the account, according to the outlined policy.

Office Visits & Other Services

If you have: Commercial Insurance, also known as indemnity, “regular insurance”, or 80% / 20% coverage."

  • You are responsible for:
    Payment of the patient responsibility for all office visit, injection, and other charges at the time of the office visit.
  • Our Staff will:
    Call your insurance company ahead of time to determine deductibles and coinsurance. File an insurance claim as a courtesy to you.

If you have: HMO & PPO plans with which we have a contract

  • You are responsible for:
    If the services you receive are covered by the plan: All applicable copays and deductibles are requested at the time of the office visit. If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit.
  • Our Staff will:
    Call your insurance company ahead of time to determine copays, deductibles, and co-insurance amounts for you. File the insurance claim on your behalf.

If you have: HMO with which we are not contracted

  • You are responsible for:
    Payment in full for office visits, injections, and other charges at the time of the office visit.
  • Our Staff will:
    File the insurance claim on your behalf.

If you have: Point of Service Plan or Out Of Network PPO

  • You are responsible for:
    Payment of the patient responsibility--deductible, copay, non-covered services--at the time of the visit.
  • Our Staff will:
    Call your insurance company ahead of time to determine out of network benefits, copays, deductibles, and non-covered services. File an insurance claim on your behalf.

If you have: Medicare

  • You are responsible for:
    If you have Regular Medicare, and have not met your annual deductible, we ask that it be paid at the time of service.
    If you have Regular Medicare as primary, and also have secondary insurance or Medigap: No payment is necessary at the time of the visit. If you have Regular Medicare as primary, but no secondary insurance: Payment of your 20% co-insurance is requested at the time of the visit.
  • Our Staff will:
    File the claim on your behalf, as well as any claims to your secondary insurance.

If you have: Medicare HMO

  • You are responsible for:
    All applicable copays and deductibles at the time of the office visit.
  • Our Staff will:
    File the claim on your behalf, as well as any claims to your secondary insurance.

If you have: Missouri Medicaid

  • You are responsible for:
    Notifying our staff regarding your Medicaid eligibility before services are rendered.
  • Our Staff will:
    File the claim on your behalf and discuss our Medicaid acceptance policy with you.

If you have: Worker's Compensation

  • You are responsible for:
    If we have verified the claim with your carrier: No payment is necessary at the time of the visit. If we are not able to verify your claim: Payment in full is requested at the time of the visit.
  • Our Staff will:
    File the claim on your behalf. Call your carrier ahead of time to verify the accident date, claim number, primary care physician, employer information, and referral procedures.

If you have: Private Pay / Uninsured / Self Pay

  • You are responsible for: 
    Payment in full at the time of the visit. Please inquire about any discounts that may be available.
  • Our Staff will:
    Provide you a receipt for your services.

 

Insurance and Billing