Columbia Park Medical Group

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Business Services

Our Business Office's goal is to be your advocate regarding payment of your bill. Each patient's medical problems are unique to them and the charges will vary according to the extent and nature of the services provided. Payments for co-pays and non-covered services are due at the time of visit unless prior arrangements have been made. Laboratory services also will appear on your statement unless you have Medical Assistance, Medicare or Medica, in which case these services will be billed by the lab. Statements are mailed on a monthly basis for any unpaid balances.

If you desire we will file your insurance claim for you. Simply provide us with the name and address of your insurance company. If you wish to file your own claim, please inform our business office and they will give you the proper form to file. Columbia Park Medical Group accepts most major credit cards.

Mailing address:
Columbia Park Medical Group
Central Business Office
4000 Central Ave NE, Suite 301
Columbia Heights, MN 55421

Use the quick links below to view frequently asked questions about billing. If you still have questions about your bill, please call the Business Office at (763) 572-5700.

Frequently Asked Questions About Your Bill

Patient Responsibility Statement
Know your insurance coverage. Be familar with what your insurance company does and does not cover. You are responsible for paying for any charges or balances your insurance company does not cover. To find out more information about your insurance coverage, please call the customer service phone number listed on your insurance card. Or, contact your employer for more information.

You are responsible for paying your bill within 30 days of receiving your billing statement in the mail. Reasonable payment arrangements can be made through the billing office at (763) 572-5700.

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Insurance Coverage
CPMG will file all your claims to your Health Maintenance Organization (HMO), your Preferred Provider Organization (PPO) or your commercial carrier. To avoid out-of-pocket expenses we encourage you to check with your insurance company to insure that you have coverage for today's visit. To find out more information about your insurance coverage, please call the customer service phone number listed on the back of your insurance card. Or, contact your employer for more information. Please present your insurance card at every visit.

Insurances Accepted: In addition to participating with Medicare and Medical Assistance, the physicians at CPMG are also preferred providers for the following insurance plans:

Affordable
America's PPO Network
Beech Street
Blue Cross/Blue Shield
Blue Plus
First Health
HealthPartners (with the exception of HealthPartners Care)
Labor Care/Select Care
Medica Choice
Medica Choice Care
Medica Prime Solution
Minnesota Care
One Health Plan
Patient Choice
Preferred One
Private Health Care System
ProNet
Tricare/Triwest
UCare of Minnesota
United Health Care

If your insurance plan is not listed above you should contact your insurance company prior to scheduling an appointment. Some of the plans listed above may also have restrictions on the types of services that can be provided so we encourage you to check with your insurance plan so you do not incur any unexpected expenses.

What if I don't have any insurance or I know I will owe a balance after my insurance pays?
We encourage all patients not enrolled with one of the insurance plans listed above to take advantage of CPMG's 10% cash discount offer for services paid at the time of service. However, because medical care is costly, we have an experienced Financial Services Department to assist you with payment options.

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No Insurance or Private Insurance
If you are a new patient without insurance you will be asked to pay $100 for today's visit, at a minimum. Established patients will be asked to pay $50 at a minimum, at each visit. Medical emergency care will be provided regardless of your ability to pay. If you would like to work out a reasonable payment arrangement you can call our business office at (763) 572-5700. However, we do encourage you to pay in full at the time of your visit in order to take full advantage of our 10% cash discount.

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Community Care Program
Click here to read about Fairview's Community Care Program.

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Authorization to Release Information
Your authorization is necessary in order for us to provide your insurance company with the information they need to process your claim. Your authorization is kept in our files for future visits. Please be aware that we will be asking you to fill out an Authorization to Release Information form at your visit.

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Fee Estimates
If you are interested in obtaining a fee estimate please notify the front desk at the time of your visit. We have a handout that will provide you with our best estimate of the charges you may be billed at your appointment. Your actual bill may differ if we did not have all the information needed to give the estimate.

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Billing Statements
CPMG only mails billing statements to you if a balance has been identified that is your responsibility. Statements are mailed once each month. There is a $25 fee for all returned checks.

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Cash Discount
We offer a 10% cash discount on visits paid at the time of service.

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Motor Vehicle Insurance/Personal Injury
If your visit is the result of an auto injury or personal injury, please provide us with the date of injury, claim number and insurance company name and address. We will submit the claim for you. If these charges are not paid by the injury carrier we will contact you to set up suitable payment arrangements.

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Workers Compensation
CPMG will submit your bill to either the employer responsible or the workers compensation insurance company along with your medical records, as required by Minnesota State Law. You are required to provide the information to us for billing. If you have an attorney involved in your workers compensation case, please provide us with their name and telephone number.

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Co-Payments
Co-payments are to be paid prior to your visit by requirement of the medical insurance carriers.

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Methods of Payment Accepted
We accept most major credit cards. Your personal check or cash is also welcome.

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Consent for Treatment for Minors
We cannot render non-emergency treatment to minors without the legal guardian’s written authorization. Minors must be accompanied by a legal guardian at the time of check-in or provide documentation that would allow us to see the child. Authorization forms for treatment can be obtained at the front desk.

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Preventive Services
Annual physicals are visits where the patient is receiving a check-up and does not present with any physical symptoms or does not have chronic illnesses reviewed. If symptoms are uncovered and addressed during a physical you may be charged an office visit in addition to your physical.

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Medicare
Medicare has two billing parts. Medicare Part A (Hospital Insurance) helps to pay for hospital services. Medicare Part B (Medical Insurance) helps pay for /clinic service fees and outpatient hospital services. To learn more about Medicare click here.

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Past Due Balances
Our staff will contact you if your balance has become past due.
We will be happy to work with you to create a payment plan. However, if you do not comply with the payment plan or your balance is not paid in the agreed upon timeframe, your balance may be sent to a collection agency.

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Top 50 Procedure Codes as of 6/2/2008:

Proc Code Desc Px Code Count Avg $ Charge
OFFICE VISIT,EST,LEVEL 3 99213 7966 91.00 91.00
ROUTINE VENIPUNCTURE 36415 6336 10.00 10.00
OFFICE VISIT,EST,LEVEL 4 99214 5626 143.00 143.00
URINALYSIS,AUTOMATED W/MI 81001 1645 28.00 28.00
HEMOGRAM(CBC)PLATELETS & 85025 1549 35.00 35.00
COLLECTION OF BLOOD BY FI 36416 1433 10.00 10.00
PERCUTANEOUS TEST (SCRATC 95004 1416 5.00 5.00
IMMUNIZATION ADMIN 90471 1345 31.95 32.00
THERAPEUTIC EXERCISE, 15 97110 1178 47.00 47.00
OFFICE VISIT,EST,LEVEL 2 99212 1162 67.00 67.00
IMMUN ADMIN;EA ADDIT VACC 90472 894 16.00 16.00
ALLERGEN IMMUNOTHERAPY, S 95165 868 17.00 17.00
SPECIMEN COLLECTION 99000 859 17.00 17.00
DETERMINE REFRACTIVE STAT 92015 836 32.00 32.00
OFFICE VISIT,NEW,LEVEL 3 99203 772 168.00 168.00
POST OPERATIVE FOLLOW-UP 99024 719 0.00 0.00
HOSP VISIT,FOL/UP,LEVEL 2 99232 708 96.00 96.00
PAP,THIN PREP 88142 697 72.00 72.00
OFFICE VISIT,NEW,LEVEL 2 99202 659 113.00 113.00
PREVENTIVE VISIT,AGE 40-6 99396 639 184.90 186.00
CHEST X-RAY, 2 VIEW, PA/L 71020 558 63.00 63.00
UA DIPSTICK W/O MICRO(OB 81002 524 0.00 0.00
ULTRASOUND, EACH 15 MIN 97035 501 23.00 23.00
CAD;SCREENING 77052 477 34.00 34.00
MAMMOGRAPHY,SCREENING,BIL 77057 477 146.00 146.00
MANUAL THERAPY, 15 MIN EA 97140 472 47.00 47.00
ALLERGY INJ,MEDS PROVIDED 95117 464 32.00 32.00
OFFICE CONSULT,LEVEL 3 99243 450 213.00 213.00
THERAPEUTIC,PROPHYLACTIC 90772 445 32.00 32.00
VISION SCREEN 99173 432 11.78 12.00
HOSP VISIT,FOL/UP,LEVEL 3 99233 428 138.00 138.00
SED RATE, AUTOMATED 85652 424 23.00 23.00
AUDIOGRAM, SCREENING TEST 92551 420 16.76 17.00
PREVENTIVE VISIT,AGE 18-3 99395 419 167.83 168.00
HEMOGLOBIN (CPMG) 85018 401 20.00 20.00
OFFICE CONSULT,LEVEL 4 99244 395 300.00 300.00
HEPATITIS A VACCINE PEDS 90633 375 52.08 70.00
TETANUS,DIPTHERIA TOXOIDS 90715 366 64.82 73.00
EKG,TRACING ONLY 93005 351 49.00 49.00
INTRADERMAL TESTS, EACH 95024 350 9.00 9.00
PREVENTIVE VISIT, INFANT 99391 347 136.00 136.00
PREVENTIVE VISIT,AGE 1-4, 99392 340 153.00 153.00
ALLERGEN SPECIFIC IGE; QU 86003 332 49.00 49.00
CULTURE,AEROBIC DEF IDENT 87077 319 77.00 77.00
B12 UP TO 1000 MCG J3420 318 10.00 10.00
PREVNAR,CHILDREN UNDER FI 90669 312 79.18 128.00
HCG,QUALITATIVE (PREG TES 84703 309 34.00 34.00
ELECTROCARDIOGRAM INTERP 93010 300 16.00 16.00
HOSPITAL DISCHARGE DAY MA 99238 299 123.00 123.00
WET MOUNT(CPMG) 87210 298 21.00 21.00
URINALYSIS,AUTOMATED W/O 81003 287 20.00 20.00


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