General Information
We are committed to providing you with high-quality healthcare. In order to maintain that commitment, we require payment in a timely manner. The following general information is designed for that purpose.
Payments
We accept VISA, MASTERCARD, DISCOVER and AMERICAN EXPRESS. You may pay your bill by calling customer servcie at (952)512-5625.

Private-Pay/Self-Pay Patients
For private-pay patients, we encourage pre-payment by calling customer service at (952)512-5625 prior to the date of your appointment. Otherwise, we ask that you arrive prepared to pay when you check in for your visit. If you are being scheduled for surgery or a procedure, we will determine a prepayment to be received by our business office prior to your surgery date. We are happy to work with you on the remaining balance to arrive at a payment plan that will fit within your budget.
Statements
We send our patients full-detail statements that include each transaction. When you receive a statement, your balance is due. Because of the nature of medical bills, these statements can be confusing. Please do not hesitate to call us if you have questions. (952)512-5625.
Determining Patient Responsibility
Understanding your policy, co-pays and deductibles is essential for determining your out-of-pocket expense.
Finance Charge
A finance charge of 0.667% per month (8% annually) may accrue on accounts 60 days or older.
Insurance Claims
We ask that you provide us with a copy of your insurance card so we can set up the correct billing information. We bill your health plan within a few days of your visit. Health insurance usually pays within 30 days. Occasionally a health plan asks for additional information before paying your claim. In this case insurance processing may be delayed beyond 30 days. After your insurance carrier has processed your claim, you will receive a statement for the remaining patient balance, such as a co-pay or deductible. This statement will include not only your patient balance, but also any invoices still awaiting insurance processing. Payment is due upon receipt of this statement.
Insurance Disputes
We cannot accept responsibility for collecting your insurance reimbursement or negotiating a settlement on a disputed claim. We can provide you with the necessary medical information to assist you.
Insurance Plans
We accept most major insurance plans. Coverage requirements and limitations vary from plan to plan and from time to time. We advise you to contact your insurance company prior to each appointment to inquire if our practice or your physician is a participating provider. We have provided a list of insurances companies we are contracted with.
All Providers at Pelvic Floor Center® are participating providers in Medicare
This means we accept Medicare and Tricare assignment. You are responsible for any deductible or co-insurance portions.
What happens if my physician or Pelvic Floor Center® is not contracted with my insurance?
We will still bill your insurance as a courtesy to you. You will be financially responsible for any portion of your bill that your insurance does not pay.
Preferred Networks and Care Systems
We ask that you be fully responsible for knowing the specifics of your insurance contract, and that you share any special preferred network or hospital requirements with us. We can then work together to be sure your care is coordinated within the correct network or Care System, thereby giving you the best benefit level possible under your insurance plan.
Insurance Referrals and Prior Authorization
Patients should review and understand their insurance contracts. We strongly recommend that you become familiar with your insurance plan and the extent of the coverage that is available. If you are not familiar with your insurance coverage, we suggest that you discuss your policy with your employer or insurance company before charges are incurred. Of course, our billing experts are here to help you as well. Please be aware that obtaining the necessary prior-authorization, certification, or referral does not guarantee payment.
- Referrals Your insurance plan may require a referral or prior-authorization from your primary care physician. It is your responsibility to contact your Primary Care Clinic (PCP) and obtain this referral prior to your appointment. Services rendered without this may not be covered and will be billed to the patient.
- Authorizations If your insurance plan requires prior-authorization or pre-certification for services, please inform our staff. In most cases, we are able to assist in obtaining authorization or certification.
Financial Assistance
We understand that medical bills can pose an unexpected financial burden, and that there are circumstances that may warrant an extended payment plan. If you receive a statement and you are having difficulty paying or are unable to pay, please call our business office at (952)512-5625. We will work with you to find a satisfactory resolution to your situation.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. Click here for additional information.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 952-846-2206.
Billing Questions
Something we haven’t answered? Medical information, including insurance policies change so rapidly that it is difficult to keep up-to-date and well informed. We’re here to help. Contact our billing experts o by phone at (952)512-5625, and we will do our best to help answer your questions.