Broken Arrow Family Practice Center
Dr. Holte cares . . .
for the whole family!


As a convenience to our patients we are happy to file your insurance for you. Please remember that your insurance coverage is a contract between you and the insurance company. We cannot guarantee your coverage.

Please familiarize yourself with your individual plans, policies and insurance benefits. It is your responsibility to pay co-pays, co-insurance, deductibles or any balance not paid by your insurance company. Some companies pay fixed allowances for certain procedures while others pay a percentage of the charge.

Most insurance cards list the amount of co-pay due at each visit. We collect the co-pay at the time you check in.

Please be aware of your annual deductible and whether or not you have met it. If you have a deductible you will be required to pay at the time of service.

Once our claim has been sent to the insurance company, they send you a copy of your explanation of benefits (EOB) in addition to the one they send our office. It clearly notes what they paid the doctor; co-pays, co-insurance, deductibles, discounts and adjustments. After we receive our EOB, we will then bill you for any remaining patient responsibility.

Past-Due Accounts
Due to increased postage, printing costs, and staff time we will only send you three statements prior to referring your account to a collection agency. We would much rather work with you, so please be prompt in paying your bill or contacting us if you need to make payment arrangements. If we must refer your account to a collection agency we will add a 30% surcharge to your balance.

Methods of Payment
We accept VISA, MasterCard, personal checks, and cash. There is a fee of $35 for any checks returned by your bank.

Auto Accidents
We do NOT handle auto-accident insurance. If you need to see the doctor as a result of an auto-accident, we require payment up front. We will then give you a receipt which you can submit for reimbursement to the auto-insurance company handling it.

Workmans Comp
We do NOT file Workmans Compensation cases. However, if you need to see the doctor as a result of a workmans compensation case, we require payment up front for the visit. We will then give you a receipt which you can submit for reimbursement.

For questions regarding insurance, billing and payment plans please call: (918) 251-2273

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