Community Physicians of Indiana

Thank you for choosing us as your health care provider. We are committed to building a successful physician-patient relationship with you and your family. Please understand that payment for services is part of that relationship.

We participate in most insurance plans as well as Medicaid. We accept and submit claims to most insurance companies on your behalf. If your insurance contract requires a co-payment for an office visit, this is expected at the time of your visit. We accept cash, checks and VISA/MasterCard.

Our staff is dedicated to helping you, so please be sure to bring your insurance information and any special insurance forms with you to your visit. It is your responsibility to notify us of any changes in your insurance coverage.

If you do not have insurance, please let us know in advance. We will work with you to make arrangements with a signed Payment Agreement and approval of the office manager. If you need further assistance, our billing manager can be consulted as well.

Primary Insurance: We will file claims with your insurance upon submission of proof of insurance. In the event that you have insurance but cannot provide documentation, payment is due at the time of service. You are responsible for supplying information requested by the insurance company (annual claim forms, accident details, etc.). Upon receipt of your insurance card, we will submit the health insurance claim form indicating your payment at the time of service.

Secondary Insurance: Claims will be filed with secondary insurance if adequate information is received at the time of service. However, if payment is not received in our office within 45 days of filing, the responsibility will be transferred to you and due upon receipt.

Accounts past due

Please reference our Financial Policy

The payment from your statement is due upon receipt. Non-compliance may result in preparation of account for small claims court, collection agency, or credit bureau reporting and possible discharge from the practice.

In the event an account is turned over for collection, the person financially responsible for the account will be responsible for all collection costs, including reasonable attorney fees of no less than 30% and court costs.

A patient may remit in full for all outstanding charges owed on an account. Amounts previously placed with a collection service will need to be paid to the collection agency.
Under these circumstances, the physician may reserve the right to re-establish the patient to active status in the practice.