Patient Information
Thank you for choosing Indianapolis Gastroenterology and Hepatology as your health care provider.
We are committed to providing you the best possible medical care. We would like to keep you informed of our current office and financial policies. We require you to read and sign this agreement. We will place a signed copy in your chart, and you may keep the original for future reference.
As a courtesy, our office will bill your insurance for the services you receive. We cannot bill your insurance company unless you give us your correct insurance information and driver's license. Please understand that your medical insurance is a contract between you and your insurance company.
We are not a party to that contract, and your bill is ultimately your responsibility whether your insurance company pays or not. We can often help with providing information to help get your claim paid, but if your insurance company has not paid your account in full within 45 business days, it will then become your responsibility to pay the balance. Please click below to read more about what insurance policies we accept.
Payment is due at the time of service. If you are unable to pay your balance in full, you must set-up a payment plan with one of our patient advocates prior to being seen for an appointment or procedure.
All co-payments, insurance deductibles and fees for services not covered by your insurance policy are due at the time service is rendered. The co-pay cannot be waived, as it is a requirement placed on you by your insurance company.
We accept cash, money orders, personal checks, Visa, Mastercard, and Discover. Online payment is available.
Returned Checks: A $30.00 charge will be added to your account for any check returned by your bank for any reason. This will be in addition to any charged applied by your bank.
If you are unable to make your scheduled appointment time, please contact our office as soon as possible to reschedule. Failure to cancel an appointment in a timely fashion is unfair to other patients that need medical care. We request that patients unable to keep scheduled appointments notify us at least 24 hours in advance, so the time can be made available to someone else.
A missed appointment, or 'no-show', occurs when a patient fails to give notice that the appointment cannot be kept. When new patients fail to keep an appointment, the referring physician will be notified. The appointment will be rescheduled once upon request, but after a second no-show, the appointment will only be rescheduled at the request of the referring physician.
For established patients, a missed appointment will be rescheduled upon request. A second missed appointment within 12 months will result in a no-show fee which is not covered by insurance. Patients that fail to notify our office within 48 hours of their appointment time will be charged $100.00. Three missed appointments within 12 months may result in dismissal from our practice.