PATIENT INFORMATION
PATIENTS AT ASAP
At Arkansas Spine and Pain we consider the whole person and their family when treating the pain. Pain Clinic staff work with other health care professionals, physical therapists, family physicians and services that might be needed such as social workers, hospice, home care agencies, behavioral health specialists to assist with modification of life styles and to encourage retaining and regaining maximum quality of life.
PATIENT FORMS
- New Patient Registration
- Pain Management Agreement
- Referral Form
INFORMATION FOR NEW & EXISTING PATIENTS
-
Insurance
We bill participating insurance companies as a courtesy to you. You are expected to pay your deductibles and co-payments at the time of service. If we have not received payment from your insurance company, you will be expected to pay the balance in full. You are responsible for all charges.
We do not take:
- Ambetter
- Windsor
- Wellcare
All other insurances are accepted including Medicaid and Medicare.
-
Payment Policies
Arkansas Spine and Pain does everything possible to minimize the cost of medical care. You can help a great deal by eliminating the need for us to bill you. The following is summary of our payment policy.
-
Co-Payment
Payment is required at the time services are rendered unless other arrangements have been made in advance. This includes applicable co-insurance and co-payments for participating insurance companies. The Doctors Pain Clinic accepts cash, personal checks, Visa, and MasterCard. There is a service charge for returned checks.
-
Outstanding Balance
Patients with an outstanding balance of 60 days overdue must make arrangements for payment prior to scheduling appointments. We realize that people have financial difficulty. Please communicate with our billing and collection staff so that they may assist to create a financial plan with you.
-
Refunds
Overpayments will be refunded upon written request to the responsible party within 30 days of our office confirmation.
-
Billing Questions
If you should need any assistance or have questions, please call our billing department between 8:00 a.m. 4:00 p.m., Monday through Friday at 501.227.0184.
-
Appointment Abuse
Missed appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. If you are unable to keep your appointment, please give 24-hours notice to avoid charge. We reserve the right to charge for missed or untimely canceled appointments. Excessive abuse of scheduled appointments may result in discharge from the practice.
PATIENTS AT ASAP
At Arkansas Spine and Pain we consider the whole person and their family when treating the pain. Pain Clinic staff work with other health care professionals, physical therapists, family physicians and services that might be needed such as social workers, hospice, home care agencies, behavioral health specialists to assist with modification of life styles and to encourage retaining and regaining maximum quality of life.
PATIENT FORMS
- New Patient Registration
- Pain Management Agreement
- Referral Form
INFORMATION FOR NEW & EXISTING PATIENTS
-
Insurance
We bill participating insurance companies as a courtesy to you. You are expected to pay your deductibles and co-payments at the time of service. If we have not received payment from your insurance company, you will be expected to pay the balance in full. You are responsible for all charges.
We do not take:
- Ambetter
- Windsor
- Wellcare
All other insurances are accepted including Medicaid and Medicare.
-
Payment Policies
Arkansas Spine and Pain does everything possible to minimize the cost of medical care. You can help a great deal by eliminating the need for us to bill you. The following is summary of our payment policy.
-
Co-Payment
Payment is required at the time services are rendered unless other arrangements have been made in advance. This includes applicable co-insurance and co-payments for participating insurance companies. The Doctors Pain Clinic accepts cash, personal checks, Visa, and MasterCard. There is a service charge for returned checks.
-
Outstanding Balance
Patients with an outstanding balance of 60 days overdue must make arrangements for payment prior to scheduling appointments. We realize that people have financial difficulty. Please communicate with our billing and collection staff so that they may assist to create a financial plan with you.
-
Refunds
Overpayments will be refunded upon written request to the responsible party within 30 days of our office confirmation.
-
Billing Questions
If you should need any assistance or have questions, please call our billing department between 8:00 a.m. 4:00 p.m., Monday through Friday at 501.227.0184.
-
Appointment Abuse
Missed appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. If you are unable to keep your appointment, please give 24-hours notice to avoid charge. We reserve the right to charge for missed or untimely canceled appointments. Excessive abuse of scheduled appointments may result in discharge from the practice.