Billing is handled through the Sedona Centralized Business Office. Payments can be mailed to 602 35th Avenue, Moline, IL 61265, and they can be reached at 877-854-3551 or 309-736-4011 with billing questions.
For your protection from identity theft, we ask for photo IDs of all our patients.
When you call our office, please be prepared to provide the following information:
Your full name, date of birth, current address and phone number. For female patients, it will be helpful to provide us with your maiden name in case we need to locate any previous records for you. We will also ask you what type of insurance you have, who is the primary cardholder and the ID number on the card. If you have a preferred name that is different from your given name and would like us to address you as the preferred name, please let us know. Our computer system allows us to indicate your preferred name and we will do our best to address you as you wish.
Our offices use electronic medical records (charts), so we will ask for your location preference for:
When you arrive at our office, please be prepared to present your insurance card for our billing office.
Please carry your insurance card with you at all times to your visits. You may be asked to provide it for copying at each visit. Please do not feel offended if we ask to copy your card at multiple visits, we have your best interest in mind, so that you will not receive inappropriate bills from an insurance plan that is no longer active or has changed its benefit. The laboratory and x-ray department may also ask for copies of your insurance cards since they will bill your insurance separately.
After arriving at our office, we will have you fill out some paperwork that will help the physicians and nursing staff with your care. Please be prepared to list all of your medications and strength, both prescription and over the counter. Please also alert the nursing staff if you have any allergies.
If you have been injured on the job, we will have another form for you to fill out – this will help us assure that the billing office files the claim with the appropriate party or insurance. You will be responsible for filing all other liability claims and auto accidents.
What can you expect from us?
Q. How can I get a copy of my child's immunization record?
Q. Why do I need to sign a release?
Q. How do I get my medical records transferred?
Q. How long does it take to get my records?
Q. Can I get a copy of my medical records for myself?
Q. Is there a cost for copies of medical records?
Listed below are forms used in our two clinics to help organize and enter your information accurately into our medical records system.
To better serve you as a patient, you may open and print these off at your own leisure to fill out and bring in to our office or to keep for your personal records.
These forms require you to have Adobe Acrobat Reader in order to open.
If you do not have adobe acrobat reader you can download it for free.