Insurance/Billing

Financial Policy

Thank you for your confidence in us at Springfield Orthopaedic and Sports Medicine Institute.  We'd like to inform you of our billing and payment policies to avoid confusion or misunderstanding later. 

We require an updated registration form yearly as well as a copy of your insurance card when you arrive for your appointment to be sure our records are up-to-date.  This will help us bill correctly and to avoid you being held responsible for a bill your insurance was to have paid.   We also need you to bring a valid driver's license or picture ID as an additional means of protecting your identity.  We urge you to contact your insurance carrier so you understand your coverage and benefits for services rendered to you and/or your dependents.

If you have secondary insurance coverage, please be sure we have all pertinent information as well.  We will submit a claim to the secondary insurance after your primary insurance has paid its portion of your charges.  After your secondary insurance carrier submits payment, we will bill you for any remaining balance for which you are responsible.

Co-payments or deductibles are to be paid on the day of service.  For your convenience we accept cash, check, money orders and charge/debit cards.

If your insurance coverage requires you to have a written referral/pre-certification from your primary physician before seeing one of our specialists, you must present the document to us before or upon arrival for your appointment. Failure to do so will automatically make you responsible for all charges in full.  You are responsible for items your insurance does not cover. 

Failure to provide accurate information may result in your liability for the entire physician’s bill. You are always responsible for the balance of your bill not covered by insurance.

If you do not have insurance, we require payment in full the day of service, unless other arrangements have been made with the practice manager or billing specialist.  If a payment plan is set up, it must be paid off as indicated in the plan or the account will be sent to collection.  We do offer discounts on self-pay accounts when the balance is $200 or more and is paid in full at the time of service.  There is a maximum number of payments permitted, depending on dollar amount, which will be explained to you upon making payment arrangements.

Disability and Worker’s Compensation

If you have a Worker's Compensation claim, be sure to notify the office staff immediately.  You will need to supply us with the date of injury, type of injury with eligible codes, claim number, name and phone number of the insurance adjustor or case manager, your employer at the time of injury, worker's compensation carrier, alternate private insurance information and attorney's name and telephone number if applicable. 

Worker’s Compensation and Disability Forms require additional time and personnel to complete. Please allow three to five working days for completion of this paperwork, or you may ask the office to contact you by phone when the forms are ready for pickup.  There is a fee of $20, due in advance, for any disability form to be completed. 

There is a $25 fee for all returned checks.

We welcome the opportunity to discuss any aspect of our financial policy.

Accepted Insurances

This is a list of insurance companies we are contracted with. As these contracts are subject to change, we recommend that you call your insurance company to verify that we are currently contracted before you obtain services from us.

Please note that we are not providers for Amerigroup, Caresource or Molina.

* Dr. Thompson and Dr. Galluch are investors in Ohio Valley Medical Center.  At times they refer patients to Ohio Valley Medical Center in connection with their care and treatment.