
When you make your appointment, we will offer an electronic link to be sent via email that makes it easy to fill out your health profile and set up your portal account securely. Once you have created your profile, you will be able to see your visit notes, request refills and even ask questions.
- Payment is due in full at the time of service
- If you have insurance, your co-pay or co-insurance will be due at the time of service
- Insurance benefits and eligibility will be verified prior to services being rendered
- We accept cash, checks, debit, credit cards and Care Credit
Proof of Insurance:
- All patients must complete our patient information form before being seen by the doctor.
- We must obtain a copy of your driver’s license/ID and insurance card. If you fail to provide us with the correct insurance information, you may be responsible for the balance of the claim.
If required, obtaining the proper referral from your primary care physician is your responsibility.
Patients with Insurance:
- As a courtesy, we will submit a claim for your visit to your insurance company
- If the insurance company deems there is a problem with the claim, we will work with their representative to try and fix the problem and resubmit the claim.
- If your insurance denies a service, you are responsible for the amount due for that claim
- All denials by your insurance will become patient responsibility to pay
Co-payments, Deductibles and Co-Insurance:
- The co-pay or co-insurance amount is due at time of service
- If you have not yet met your yearly deductible, the full fee(s) for services rendered will be due at the time of service
- Even with insurance, some services may be deemed “non covered” and you will be responsible for those fees
Medicare Insurance:
- After your yearly deductible is met, we will accept assignment of benefits as set forth in Medicare part B plans as set forth in your Medicare handbook, the co-insurance amount is 20% of Medicare’s “allowable” will be collected at the time of service if you do not have a supplemental insurance or if the supplemental insurance does not cover the service(s) rendered
- Medicare does not cover all services. Any non-covered service/treatment must be paid in full at the time of service. Our staff strives to keep patients informed of any non-covered services and will alert you prior to the service if possible.
Non-Covered Services:
- You are responsible for any non-covered services you choose to receive. Please be aware that some and perhaps all services you receive may not be covered by your insurance. Any non-covered service cannot be billed for delayed payment or sent to insurance if deemed not covered. Payment will be due at time of service, in full.
- We will inform you ahead of time if there are any treatments or services that are not covered.
Office Visits:
- New patients need to arrive 30 minutes prior to the scheduled appointment time. If you cannot arrive early, your appointment with the doctor may be delayed.
- Late arrivals of 15 minutes or more may be asked to reschedule
- All appointment cancellations need to be made 24 hours prior to the scheduled appointment in consideration of other patients who may need to be seen in your place.
- If you are late, do not show, or reschedule with short notice for your appointment up to 3 times, we may be forced to not see you anymore.
Prescription Refills:
- It may take up to 24 hours for a prescription refill request
- If you call on a Friday for a prescription refill request, please note that it will be handled the next business day which would be Monday
- We reserve the right to have patients submit a drug screen either with us or a local lab for those requesting pain prescription refills
- We will not replace lost or stolen prescriptions
- Per Federal Law, we must check the Arkansas prescription drug database to check that prescriptions for pain medication are not being filled by other doctors simultaneously and being requested with us.
Medical Record Requests:
- All requests for medical records require a “Medical Record Release” form to be filled out and signed by the patient or guardian requesting the information. The fee for a records request from our office straight to the hands of the patient is $6.50 for printed progress notes.
- A copy of an X Ray CD may be obtained with at least 24 hours’ notice. The cost of the CD is $5.00
- It may take up to 72 hours from the time we receive the medical release form in order to get the records ready for you to pick up.
- It will take 5 business days to complete any paperwork requests from places of employment, disability paperwork, attorney, etc. The cost is between $15 and $75 depending on the in-depth requirements for all paperwork that needs to be filled out.
Advanced Foot and Ankle Clinics provides services to members of Bentonville, Fayetteville, Springdale and Rogers, Arkansas.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.
