Patient Information
Financial Information
Our practice is committed to providing the best treatment for our patients and to find the most convenient financial options. We will work with you to get the best reimbursement for covered procedures from your insurance company.
Payment Responsibility: When the back of the registration paperwork is signed, that person takes responsibility for the patient’s account and any unpaid balances. We cannot legally enforce divorce decrees. If there is more than one responsible party, we encourage you to have all financially responsible parties sign the registration paperwork. If you are covered by insurance, you are expected to pay for the estimated out of pocket expenses. This estimated payment is due the day of the surgery. If you do not have insurance or it is not a covered expense, payment in full is needed on the day of surgery.
Payment Methods: We offer several options for payment types; cash, check, Visa, MasterCard, Discover, and health care financing through ChaseHealth, Springstone, and CareCredit. These financing options offer payments interest free for up to 12 months, or low monthly payments for up to 84 months depending on the financed amount once you qualify. The health care financing is a contract between you and each individual company. OMS is willing to assist you in filling out any applications but we are not directly involved in the decision for approval or not.
Insurance: Your insurance policy is a contract between you and your insurance company. While we may be in-network providers, we are not a party to that contract and have no say in what is and is not covered. However, as a courtesy to you we will file or help you file your insurance claims with your insurance company.
Depending on what procedure is done, you may have coverage with medical or dental or both. We will assist you on coordinating your benefits. Because both insurances may cover we will ask that you supply us with information from both plans at the time of your first appointment. We will try to get benefit information for you while you are in our office but ultimately you are responsible to know the specifics of your insurance. You should also be aware that some or all of the procedures may not be covered. Some insurance companies require a referral for optimal coverage. It is the responsibility of the insured to acquire the proper referral.
Pre-Treatment Estimates: An estimation of the charges for your treatment will be given to you at the consultation. We will send a Prior Authorization Request to your insurance upon your request. Allow up to 30 days for the request to process. Your insurance company will not guarantee payment even with a prior authorization from your insurance company.
Medicare: We are a provider for Medicare and Medicare will send payments directly to us. You are responsible for any co-pays or non-covered benefits. Medicare does not cover any dental procedures including extractions, implants, and some oral biopsies. We are unable to send claims to Medicare for these procedures and you will be expected to pay in full on the day of the surgery.
Billing Statements: You will receive a statement from OMS once your insurance has paid their share of costs. Most insurance companies will pay us within 30 days. Coordination of benefits will take longer. Any remaining balance after your insurance has paid will be your responsibility regardless of any pre-treatment estimates. Your prompt payment is appreciated.
Monthly payments: All pre-treatment payments must be paid on the day of surgery or before. If you are unable to pay in full any remaining balance after insurance has paid, please contact our office right away. OMS does not set up monthly payment plans, as a general rule. We will, however, try to work with you to prevent outstanding balances.
Refunds: All over payments will be issued to the appropriate parties (either insurance or responsible party). No refunds will be processed until all insurance claims are received and closed. If there is more than one patient for a responsible party, the refund may be used to pay off the other patient’s account. Refunds less than $5.00 will not be issued unless requested.
Collections: Accounts that are not paid in the normal collection process will be sent to a collection agency for further collection action. All non-sufficient fund checks or cancelled checks are sent directly to collections. This will affect your credit rating and you will be responsible for all collection costs, attorney fees, and court costs.
Contact Us At:
St. Anthony Office
612.788.9246
Waconia Office
952.442.5448
Blaine Office
763.757.2220
Maple Grove Office
763.494.8825