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For Wyoming Medicaid (Title 19) there is a "cap limit" of 12 office visits per year. This limit includes visits to all doctors including the Emergency Room. As a courtesy to you, we will write one letter to Medicaid to ask that the cap limits be waived for our office only. If there is not a response from Medicaid, all medical bills are your responsibility and payment will be expected at the time of service. **NOTE** You must bring your current coupon or other proof of coverage to each visit; we cannot see you without it. If you have a co-payment, it must be paid at the time of service. There are o exceptions. If you do not pay your co-pay, you will not be seen and will have to reschedule your appointment.


We do not accept any out of state Workers' Compensation except from Colorado, Montana, Nebraska, and Arizona. This is subject to change at any time without notice.


As our office in not a member of the TriCare Network. We will bill TriCare as an "out-of-network" provider, meaning any amount not paid by TriCare will be your responsibility. 


There are several commercial insurance companies whose plans have copayments. This is an agreement between you and your insurance company and are not conditions determined by this office. These co-payments are due at the time of service. There are no exceptions. If you do not have your co-payment, you will not be seen by the provider and you will have to reschedule your appointment.


After your insurance had paid, the remaining balance on the account, if any, will become your responsibility. If the balance is $300 or greater, you will be asked to meet with one of our Billing Specialist. The scheduling of future appointments is contingent upon the results of this meeting. Unpaid accounts will be referred to an outside source for collections. Any unpaid balances, including bankruptcy, may lead to your dismissal from this clinic. 

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