Normal Business Hours:
Monday – Thursday: 7:00 am – 5:00 pm
Friday: 7:00 am – 1:30 pm
To make an appointment during normal business hours please call our appointment line at: (402) 399-8550 or click on and complete information in the appointment request form link below. We will e-mail you or call you with available appointment times.
After Hours Appointment Line:
For your convenience, we have an appointment clerk available week nights and weekends in order for you to secure an appointment time.
Please call (402) 681-7091:
Monday – Thursday: 5:00 pm – 10:00 pm
Friday: 3:00 pm – 10:00 pm
Saturday & Sunday: 8:00 am – 10:00 pm
Please call our main office number during regular business hours.
To help ensure that we have the most up to date and accurate information, please complete and bring the following items to your appointment. Or, to speed up your check-in process, email your completed forms to firstname.lastname@example.org at least 1 day prior to your appointment.
(*Please note: If you are emailing these forms to email@example.com, after completing these forms, please save them to your computer so you can attach to your email.)
- Patient Registration Form
- Medical History Form
- View our Notice of Privacy Practices (Please review)
- HIPAA Privacy Acknowledgement Form
- Any X-Ray, MRI or CT images related to your injury.
- A current Insurance card.
Office visits are by appointment only. We will try to make yours as convenient as possible. Because of the many emergencies in our practice, we may be delayed, or may even have to reschedule your appointment. We apologize in advance for any inconvenience this may cause. Our ultimate goal, however, is to see patients “on time” as we understand your time is valuable.
Payment for office services is expected at the time of each visit if you do not have insurance. An itemization of your charges will be given to you each time you are seen in our office. MasterCard, Visa, and Discover cards are accepted, as well as HSA account cards. If you have insurance coverage we will file your claim for you.
We cannot look to a third party (i.e., auto insurance, liability) for payment of services rendered; therefore, the patient receiving such service is responsible. Any patient who wishes to discuss fees is encouraged to do so with our insurance billing department.
Our insurance department can be reached directly at (402) 399-9301 and will assist you in any way possible. If you have any questions regarding a claim that has been filed, please contact the insurance department.
If you should require hospitalization, we admit patients to Midwest Surgical Hospital, Methodist Hospital, Methodist Women’s Hospital, Methodist Physicians Healthwest, Nebraska Medicine, CHI Health Bergan Mercy, CHI Health Lakeside and CHI Health Lakeside ASC. Office personnel will arrange your admission and assist in answering any of your questions. Upon admission, your physician will note the plan of treatment on your hospital chart. You may be visited by any one of the physicians in our office.
We will file all insurance claims for hospital services. For care not covered by insurance, financial arrangements can be made with our insurance department.
We participate with Medicare and we will file your claims with them and with one supplemental carrier for all services rendered.
If your coverage is with one of the HMO’s and PPO’s with which we participate, we will file your insurance claim. Any co-payment amount must be paid at the time you are seen. Please bring any required referral forms with you or you will be responsible for your charges that day. A statement will be sent for any balance due, and your prompt payment will be appreciated.
Even through patients have insurance and benefits are payable, the insurance contract is between the patient and the insurance company; therefore, the prompt payment of our fees remains the personal responsibility of the patient.
If you are unable to pay your account in full on receipt of your statement, we ask that regular monthly payments of at least $50.00 or 10% of the balance commence following receipt of the first statement. Accounts are considered delinquent 60 days following the date of service.
Health reports for insurance companies or to attorneys for litigation purposes, claims, etc., require payment in advance.
2510 Bellevue Medical Center Drive, Suite 145 • Bellevue, NE 68123Call us at (402)399-8550 today.