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ANCMG Business Office
Aultman North Canton Medical Group is dedicated to providing you with the best possible medical services and regards your complete understanding of your financial responsibilities an essential element of your care and treatment. Patient Account representatives are available Monday – Friday 8:30 a.m. – 5 p.m., excluding holidays, to assist you with the financial aspect of your care. You may contact them directly at 330-433-1439.

Medical Services
For continuity of care, the physicians within ANCMG utilize a common medical record.

Insurance cards, co-payments and coinsurance are expected at the time of service at each visit.
As a courtesy, charges for services will be submitted to your insurance company. All health plans are agreements between you and your insurance carrier. All plans are “plan” specific and pay differently. It is the patients’ responsibility to know their plan payment details. You are responsible for all co-pays, coinsurance, deductibles and non-covered services/items. We are obligated to collect your co-pay at the time of service per your insurance company. In the event your health plan determines a service to be “non-covered” or does not pay the services in full, the unpaid balance is the responsibility of the patient. If you have no proof of insurance, you will be asked to pay for the services at the time rendered. For your convenience, we accept VISA, MasterCard, Discover and/or American Express. If insurance does not pay the claim, you will be held responsible for payment.                                                               

Payment is due at the time of service for cosmetic or other elective procedures.

For services rendered to minor patients, the parent(s) or guardian(s) of the minor are responsible for payment.

A self-pay discount is available for patients without medical coverage if paid within the first statement cycle. ANCMG  offers the Yes, You Can program for many non-contracted insurance plans. Yes You Can does not apply to government insurance plans.

Financial Assistance is available for those who qualify. Application and proof of financial need is required to be considered for this discount. Discounts are based on the U.S. poverty guidelines.

You may be responsible for full payment on missed appointments not cancelled or rescheduled within 24 hours in advance.

An additional fee of $40 will be charged to your account for checks returned to our office for any reason, including insufficient funds.

Any debt, old or new, is expected to be satisfied to continue services with ANCMG. Failure to do so may result in dismissal from ANCMG.

There will be a charge for completing disability forms, FMLA forms and other requested supplemental forms. This requires time away from patient care and day-to-day business operations. 

There will be a charge for copies of medical records in accordance to the State of Ohio (Ohio law 3701.741) or as outlined in the contractual agreement with your insurance company.

Work-related Injury or Illness
For work-related injuries or illnesses, we will bill Workers’ Compensation upon receipt of valid claim information and MCO provider. You must be seen by a BWC credentialed physician. If no valid claim information is supplied, payment is the responsibility of the patient.

Motor Vehicle-related Injuries or other Third Party Liability Injuries
If you are receiving care due to the result of an automobile accident, or other liability incident, the charges for your treatment are YOUR responsibility UNLESS your physician is contracted with your health insurance. Medicare and Medicaid patients must present a valid claim number, date of accident/injury and name of third party liable, when making an appointment. The practice does not wait for settlements on any third party liability to receive payment.

We reserve the right to dismiss patients from ANCMG for failure to comply with the terms of our Patient Financial Policy, including, but not limited to, the failure to keep and/or bring patient accounts current after having been notified of a delinquency. Should a dismissal be exercised, a patient will no longer be permitted to schedule appointments. The practice will continue to provide urgent care only through the 30 days following notice of dismissal to provide sufficient time during which to locate a new physician. Upon dismissal, the medical records department may be contacted at 330-433-1426 weekdays to obtain authorization forms to transfer records to another physician.

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6046 Whipple Avenue, North Canton, OH 44720  |  1-330-433-1200  | Phone Directory