Billing Office: (515) 558-7731
Pre-payment of Delivery Fee
Disability, FMLA and Other Forms
Past Due Accounts
Thank you for choosing OB/GYN Associates of Des Moines for your healthcare needs. In order for us to provide you with the best possible service, please read our financial policy listed below. If at any time you have questions or would like assistance, please contact our Billing Department at (515) 558-7731.
We require complete, accurate and up-to-date information on your registration form in order to bill your insurance company. We will ask you to update this form at least annually or when changes need to be made (address, coverage, phone number, name, etc.). If we do not have current phone numbers we will not be able to contact you in the event of any schedule changes. Thank you in advance for your cooperation and patience.
New patients must supply us with a current copy of your insurance card. If you don't have a card and prior arrangements haven't been made, payment in full is expected at the time of service. You will be asked to show the receptionist your current insurance card at least annually. This allows us to assist you in collecting the benefits from your insurance company to which you are entitled.
It is important that you verify with your insurance company before your visit or if your insurance changes where your labs are to be sent. You will be responsible for any lab charges that were sent out of network.
For insurance companies that we participate with:
We are pleased to bill your insurance company for you. If your insurance company requires you to make a co-payment, co-insurance, and/or deductible we require this payment at the time of service. For your convenience we accept Visa, MasterCard, Discover and American Express. You are also responsible for any amounts the insurance plan deems not covered, up to the entire amount. Health plan coverage varies significantly by carrier, by employer, and/or by contract. We cannot know the benefits and exclusions of each patient's health plan. It is the patient's responsibility to know and understand her plan coverage and benefits.
If we do not hear from your insurance company:
If we have not received payment or rejection from your insurance company in a timely manner, we will transfer the balance to your responsibility. We request your assistance in following up with your insurance company to resolve any non-payment issue.
For insurance companies that we do not participate with:
You are responsible for payment of charges at the time of service. We will assist you by submitting a claim for you. This does not guarantee payment from the insurance company.
If you do not have insurance or are seeking care outside of your insurance plan benefits, payment in full is requested at the time of service. Our staff will gladly give you an estimate of your visit prior to your appointment. If you are interested in making arrangements, please contact our Credit Manager or the Billing Office at (515) 288-3287.
We will contact your insurance company to verify your benefits for delivery fees. We will attempt to determine the cost of a delivery that will not be covered by insurance. Payment of your balance in full is required by the 7th month of pregnancy. You will receive this information in the mail around the 3rd or 4th month. Remember, the insurance company will only estimate the amount you may owe. This verification of benefits is not a guarantee of payment. Please call your insurance company if you have any questions. The fees prepaid do not include fees for labs, ultrasounds or other fees generated outside our office.
We realize that special forms are sometimes necessary to provide documentation of medical conditions. Completing forms is time consuming and generally falls outside the contractual relationship between you and your insurance company. We will be happy to complete the forms directly for our patients for a fee of $25.00. Additional forms for spouses will be completed after payment of $10.00 per form. Please allow appropriate time for completion.
Medical records can be released upon your completion of a Records Release form. The fee for copying records is $15 plus $.25 per page over 20 pages. There is no fee if they are released to another medical provider. Payment must be received prior to the release of records.
A fee of $20.00 for checks returned to us for insufficient funds will be charged to your account. Future services will require payment by cash, money order or credit card for your payment obligations.
You will receive a statement once per month if there is an outstanding balance. The billing statement will itemize services as well as any payments, deductibles or co-insurance amounts applied by your carrier. If you do not understand your statement or have additional questions regarding your balance, please contact our billing office at
(515) 558-7731 for clarification. If your insurance delays processing or processes your claim incorrectly, you will have to contact them directly. If you cannot meet your financial obligation, please contact our Credit Manager or the billing office. Every effort will be made to work out an acceptable payment plan. You will continue to receive a statement until all of your charges and all dates of service are paid in full.
In the event that a balance becomes past due, the account will be considered delinquent. Delinquent accounts are subject to further collection action, including placement with a collection agency.