Three Locations in Arlington and Grand Prairie

Financial Policy


 

Women’s Health Services Financial Policy

WHS is committed to providing our patients with the best possible medical care while minimizing administrative costs. Our financial policy has been established with these objectives in mind to avoid any confusion or disagreement concerning payment for professional services.

Accepted Payment Methods
Women’s Health Services accepts cash, checks, most credit cards, and Care Credit.

Patient Registration Form
All patients are required to complete the Patient Registration Form annually and provide a copy of their current insurance card prior to seeing the provider. We can only file your insurance claim if we have the complete information required by your plan. If you cannot provide the receptionist with sufficient insurance information at the time of the visit, we will consider the entire bill to be the patient's responsibility, and full payment will be due at the time of service.

Patients with Insurance
Our office participates with numerous insurance companies and managed health care plans. For patients who are members of one of these plans, our business office will submit a claim for services rendered.

Obstetric Patients
All obstetric patients are required to have a deposit for their obstetrical care. This deposit must be paid in full by the 30th week of pregnancy. Once your delivery is completed, any remaining amount of the deposit will be refunded.

Credit Card on File
We require all patients to have a credit card on file. We participate with Credit Card Plus/Elavon, a PCI-compliant service that allows you to store your credit card on file and pre-authorizes transactions automatically. The practice will use the card on file to obtain pre-authorization and automatically collect outstanding balances after the patient’s insurance company has processed the claim.

  • The stored credit card will be used for patient payments up to the amount designated by the cardholder.
  • The patient will receive an email notification five (5) days prior to the payment being processed.

Patients Without Insurance
Patients that do not have insurance are expected to pay for professional services at the time of service.

Medicaid Recipients
TX Medicaid eligibility will be verified at the time of service. Any co-payment applies to all TX Medicaid recipients except those services specifically exempt by law. Non-eligible patients will be considered uninsured.

Minor Patients
Minors under the age of 18 are required to have a parent or legal guardian present at the appointment to provide consent for treatment unless the treatment/care falls under the requirements of Texas law.

Missed Appointments
Unless canceled at least one (1) business day in advance, we reserve the right to charge your account $50 for each missed appointment. Multiple missed appointments may result in dismissal from the practice. Please help us serve you and all our patients better by keeping scheduled appointments.

Medical Records Request
A patient’s initial request for a copy of their medical record is $25.

FMLA, Work, Physical, or Disability Forms
There is a $35 charge for the completion of each of the following forms: FMLA, work, military, and/or disability forms, etc.

Collections Policy
If a balance remains after insurance has processed the claim(s), up to three (3) statements will be sent to the patient. If the patient fails to pay the balance, they will be sent to Collections.

Our Locations

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