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Our office will be CLOSED on Friday, July 5, 2019
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202‐243‐0271

Patient Information

Online Bill Pay

Please click the button below to make a payment on your account. You will need to know the amount that you owe (from a current statement) when you make the payment.

Patient Forms for Dr. Thomas

The Foxhall Medicine Privacy Policy (HIPAA Policy) is listed below as well as registration forms for Dr. Thomas’ patients. Please click on the first three forms below and fill in all required information before you come in to the office. You can either print the completed forms or save them to your computer and email them to info@foxhallmedicine.com.

Financial Policy

Dr. Kristin E. Thomas’ Financial Policy

Dr. Thomas is out of network or “non-participating” with all insurance carriers, including Medicare. Our billing department will submit claims to your insurance company on your behalf. Payment for all services is expected at the time of service.

  • All unpaid balances, over 60 days, are subject to a re-bill charge of $25.00. This amount will be charged each time a statement is mailed to the patient after the 60 day mark has been reached.
  • Annual physical appointments not cancelled with at least 24 hours’ notice are subject to a $350.00 missed appointment charge.
  • Any balance over 90 days outstanding may be forwarded to a collection agency. You agree to reimburse any fees from the collection agency, which may be based on a percentage, at a maximum of 50% of the account balance, in addition to all costs and expenses, including reasonable attorney’s fees that the office incurs during these collection efforts.
  • All returned check will be charged a $35.00 insufficient funds charge.
  • Our office DOES NOT bill any secondary claims for Dr. Thomas’ patients since we do not receive the primary insurance explanation of benefits.

Dr. Joshua S. Yamamoto’s Financial Policy

Dr. Yamamoto is out of network or “non-participating” with all insurance carriers, except for Medicare. Our billing department will submit claims to your primary insurance company on your behalf.

  • All BCBS patients will be asked to pay in full at the time of service. Our office gives all BCBS patients a 35% discount on all cardiac testing, when paid in full at the visit. All unpaid charges will be billed to the patient at full price.
  • All other commercial insurance patients will be asked for a 20% coinsurance on the day of the visit. The bill will be sent to insurance, and upon payment from insurance, any remaining balance will be billed to the patient. Because we are out of network, we are not required to write off any remaining balances after insurance payment is received.
  • Appointments not cancelled with at least 24 hours’ notice are subject to a $25.00 missed appointment charge.
  • All unpaid balances over 60 days are subject to a re-bill charge of $25.00. This amount will be charged each time a statement is mailed to the patient after the 60 day mark has been reached.
  • Any balance over 90 days outstanding may be forwarded to a collection agency. You agree to reimburse any fees from the collection agency, which may be based on a percentage, at a maximum of 50% of the account balance, in addition to all costs and expenses, including reasonable attorney’s fees that the office incurs during these collection efforts.
  • All returned checks will be charged a $35.00 insufficient funds charge.
  • Our billing department DOES NOT bill Medicare secondary claims for any patient and will bill to no more than two insurance plans on the patient’s behalf.

Dr. Joyce M. Gonin’s Financial Policy

Dr. Gonin is in network or “participating” with all insurance carriers including Medicare and Medicaid (secondary coverage only)

  • Appointments not cancelled with at least 24 hours’ notice are subject to a $25.00 missed appointment charge.
  • All unpaid balances over 60 days are subject to a re-bill charge of $25.00. This amount will be charged each time a statement is mailed to the patient after the 60 day mark has been reached.
  • Any balance over 90 days outstanding may be forwarded to a collection agency. You agree to reimburse any fees from the collection agency, which may be based on a percentage, at a maximum of 50% of the account balance, in addition to all costs and expenses, including reasonable attorney’s fees that the office incurs during these collection efforts.
  • All returned checks will be charged a $35.00 insufficient funds charge.
  • Our billing department DOES NOT bill Medicare secondary claims for any patient and will bill to no more than two insurance plans on the patient’s behalf.