Appointments
Prescriptions & Refills
Laboratory
Emergency Care
Hospital Affiliations
Financial & Billing Policy
Office Fees
Billing
Insurance Filing
Managed Care Plans
Medicare
Medicaid
Statements
Payment Plans

Appointments
Appointments should be made in advance by calling the office at (406) 522-2400.  Office hours are 8:00 am to 5 pm, Monday through Friday. 

If you are a new patient, please arrive 15 minutes early to provide us with basic patient information, bring your insurance card and other information with you so that the insurance filing process will be more accurate and timely. Some insurance plans may require a completed referral form from your primary doctor and/or a co-pay amount at the time of the first visit.

In some cases, a patient may be required to have a diagnostic or evaluative study or procedure done before or at the time of the appointment. Or you may be asked to bring copies of certain records, x-rays, etc. with you or have them sent in advance of your appointment. If you are unsure about these details, please call the office and the staff will see that your questions are answered.

For appointment questions or changes, please call the office telephone number listed previously. The staff will be glad to reschedule your appointment, confirm an appointment, or answer any other question you may have regarding an appointment.

All efforts are made to assure that you are seen on time.  However, there are occasions when emergencies or other unforeseen circumstances will interfere with our schedule.  At these times, please try to be patient and rest assured that we are doing our best to minimize your wait.  In a like manner, if you are unable to keep your appointment, please notify us as soon as possible, preferably 24 hours before your scheduled appointment.

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Prescriptions & Refills
All prescriptions and authorizations for refills should be requested during regular office hours.  When calling for a  prescription, you need to give your name, daytime phone, name of medication, and the name and phone number of the pharmacy you prefer.

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Laboratory
As part of your examination, x-rays or laboratory tests may be ordered.  We may ask that you have x-rays or certain tests done at one of the hospitals or another office.  You will be billed separately for these services by the hospital or other facility

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Emergency Care
If you have an emergency, you may call the office at any time.  During office hours, the office staff will tell you what to do and where to go to receive treatment.  After hours, a message will instruct you on how to reach the doctor.  In severe situations, or ones in which you are in doubt, go directly to the emergency room of the nearest hospital.  For ambulance needs, call 911.

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Hospital Affiliations
Dr. Winton is on staff at Bozeman Deaconess Hospital.

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Financial and Billing Policy

Office Fees
While your health is our first priority, we are sensitive to the high cost of health care and will do our best to deliver your health care in the most cost efficient manner possible.  Thus, we ask that you make payment for office services at the time of your visit.  This avoids the high cost of billing and collection of past due accounts.  Our office honors Master Card and Visa for your convenience.

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Billing
Practice Management Group, L.L.C. manages our Missouri patient accounts.  Trained Patient Account Representatives can assist you with any billing, insurance, or payment questions or concerns.  Practice Management Group office hours are 8:00 am to 5:00 pm, Monday through Friday.  Practice Management Group may be reached in Columbia at (573) 449-4936 or outside Columbia at (800) 499-1701. If you are faced with financial hardship, please do not feel overwhelmed.  A Patient Account Representative will work with you to establish a mutually agreeable and realistic payment plan.

Bozeman Deaconess Internal Medicine Clinic manages our Montana patient accounts.

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Insurance Filing
Dr. Winton belongs to many managed care plans (see list below).  Your co-payment will be collected at the time of service.  Our office will file the claim to your carrier. 
In order to do so, we must have complete insurance information including the name of the insured party, the mailing address of your insurance carrier, and your policy and group numbers. Although we are able to file the claim for you, it is your ultimate responsibility to follow up with the insurance carrier to insure proper processing and payment of your claim. This office cannot negotiate or guarantee insurance coverage or payment for services rendered.

Participation with any managed care plan is subject to change, please check with the receptionist or your insurance company to verify that Dr. Winton is participating with your managed care plan. 

If Dr. Winton is not participating with your managed care plan or you do not have a managed care plan, payment for services will be expected at the time of service.  Our office will be glad to file a claim to your carrier for you.

Please remember, insurance is designed to help meet the expense of health care, but seldom pays all the charges.  It is your responsibility to know your insurance benefits and pay for any services your insurance does not cover.

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Managed Care Plans
Dr. Winton is pleased to participate in several managed care plans. The plans we currently participate with include:

AETNA
AMERICAN HEALTH
GROUP (Dana Corp)
BLUE CROSS BLUE SHIELD**
CAPITAL REGION EMPLOYEE NETWORK
CIGNA
CCO
GROUP HEALTH PLANS
HEALTHLINK
HEALTHCARE STRATEGIC INITIATIVES
MEDCO VALUE PLUS PPO
 (Integrated Solutions)
MEDICARE
MERCY HEALTH PLANS
ONE HEALTH PLANS

UNION PACIFIC RAILROAD/MO PACIFIC RAILROAD

UNITED HEALTHCARE PRODUCTS**

**Be sure to contact your insurance carrier or our office to check eligibility on certain Blue Cross and UHC plans

Participation status can change without notice. Therefore, if you have questions regarding our participation in your plan, please contact our office or your insurance plan for verification of participation.

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Medicare
Dr. Winton is a participating provider with the Medicare program and accepts assignment.  You will be responsible for any deductible, co-insurance, and services not covered by Medicare at the time of service.

We will file with a secondary or supplemental insurance carrier when the information has been provided to us prior to filing your initial claim. It is your responsibility to pay the copayment and deductible amount. We will assist you in following up with a secondary carrier but cannot negotiate or guarantee insurance coverage for services rendered.

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Medicaid
Medicaid patients' claims will be filed for them. If you are on Medicaid, you will be notified if a copayment amount is payable by you for services not covered by Medicaid.

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Statements
You will receive an initial itemized statement which will include the description and fees for all services rendered. Approximately every 30 days you will receive a statement of accounts which will detail any current payments, adjustments, or the filing of any insurance claims for your account.

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Payment Plans
We are willing to work with you to arrange a mutually agreeable payment plan if you are experiencing financial difficulties. Please contact our office to discuss the plans we have available.

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© 2000-2008 Mark D. Winton, MD
905 Highland Blvd Suite 4500
Bozeman, MT 59715
(406) 522-2400

Last updated:  June 12, 2008

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