Financial Information
Financial Information
Financial Responsibility
It is expected that deductibles, co-payments, and other amounts not covered by insurance will be paid prior to services being provided. Accepted forms of payment include personal check and credit card. Payment may be made over the phone prior to your procedure or at check in at Advanced Spine Center of Wisconsin. If you have questions at any time, let us know.
Questions About Your Bill
After you’re discharged, a statement will be mailed to you for any balance due after your insurance company has processed your claim. Payment is due upon receipt and may be made by personal check or credit card.When you receive your statement, please contact the phone number printed on your statement.
Financing Option(s)
CareCredit Credit Card
We accept the CareCredit credit card to help you finance your healthcare wants or needs. It can be used to pay for out-of-pocket expenses like deductibles and copays not covered by insurance.
- CareCredit offers promotional financing on purchases of $200 or more.*
- Call your surgical facility if you have any questions.
Financial Assistance
Our practice abides by the contractual and legal obligations of health benefit plans to collect charges, co-pays, co-insurance, and deductible amounts owed by patients. Recognizing that circumstances may arise where an individual is unable to pay in full at the time of service, we have adopted a policy of screening requests for discounts, delayed payment plans, or forgiveness of debt based on individual circumstances. To do this, we must ask for certain financial information. All information will be held confidential according to our privacy policy. Please print the document below to request financial assistance and return it to us. Or if you can’t print it, please call us at 920-215-3603 to obtain a form.