Payment Policies/Insurance/No Surprise Billing Act

****We are not CHI providers and are unable to accept insurance that is a CHI Plan.  You may be a patient here but you would have to be self pay****

We also do not file directly with and Motor Vehicle insurance whether at fault or not unless you have Medicare/Tricare/Medicaid.  We also do not work with attorneys for settlement.  We can provide you with claim forms so you can submit them yourself.

We accept Workers Compensation patients with approval.  However, we are not contracted to see Department of Labor Workers Compensation injuries.  

We accept most major insurances including but not limited to:

  • Aetna
  • ChampVA
  • Golden Rule
  • Mail Handlers
  • Medicare and most Medicare Advantage plans
  • Tricare
  • United Healthcare
  • UMR
  • Medishare Christian Healthcare
  • Bright Health
  • Wellcare Medicare and Medicaid
  • If we are not in network with your plan, we are happy to provide care as a self pay patient
  • Blue Cross/BS
  • Cigna
  • GEHA
  • Medicaid (Nebraska, NOT Iowa)
  • Midlands Choice
  • Railroad Medicare
  • IronRoad
  • Humana
  • Liberty Healthshare
  • Medica (not CHI plans)
  • Ambetter
  • Centivo
  • APWU

The above insurance list is for reference but does not guarantee your plan is in network.   If you do receive a statement about an uncovered service,  please contact your insurance company first to inquire why a service was not covered, then contact our billing department if any corrections need to be made.  If you are in need of free or low cost medical care, we can provide you with a list of local clinics.

While our billing department is extremely knowledgeable in matters of insurance, they are unable to know whether certain services or procedures are covered by your individual insurance plan. Please contact your insurance company to verify our practice is in network prior to your appointment.

We do attempt to verify your insurance prior to your appointment to limit the time you spend in the waiting room.  We require that we have a copy of your insurance card(s) of file yearly or sooner if your insurance changes.  Our staff will also ask for photo identification to verify who we are treating and for your protection against insurance fraud.  You may print off our patient forms and complete them and bring them in with you.  You may email a copy of the front and back of your insurance cards to us to:  [email protected] or [email protected]

Please be aware that co-pays are due at the time of service per your insurance company.  If you have an past due balance, payment is due before you are able to see a provider or refill prescriptions for non urgent medical issues.  You may now pay online and view your bill.   You can also see your payment history as well as print a copy of your payments for your records.  Please note that if you pay less than the balance due, a billing specialist may contact you regarding the balance owing.  Please contact our billing specialists at 402-292-9170 option 3. for billing inquiries or if you prefer to pay by phone. If you would like to discuss in person with a billing specialist, please call in advance to make sure someone is available to meet with you in person.  Statements are sent out monthly from our office and subject to a 5.00 rebilling fee if not paid by the due date. This is to  offset the expense of sending multiple statements.  Please note that we do not have enough staff to call patients regarding past due bills.  Please do not discuss billing with your providers.  They would like to devote their time to your medical issues. Please be aware that we are an independent/private practice and we are not able to offer long term financing.

Statements that become delinquent without arrangements approved by the Billing Manager, may be sent to an outside collection agency.  If you account is in collections, the entire bill needs to be paid including the commission fee the collection agency charges us which is 33 to 50% of the charges before we will schedule future appointments.  We are sorry to have to do this but we also have expenses to pay to be able to stay as an independent office.   After your bill is paid, we will accept you back to our practice with the understanding that you  will pay your future bills on time.  If your account becomes delinquent a second time, we may dismiss you from our practice.

If you are a self-pay patient without insurance coverage, FULL payment is due at the time of your visit. When checking in, the receptionist will ask for  a credit/debit card to be held securely behind the counter until the end of your appointment. You will NOT be charged until the end of your visit and you can pay in any way you are able. Self pay patients will receive a 20% discount off the total charge. We ask that new patients that are self pay do not pay by check.

For your convenience, we accept Cash, Check, Visa, MasterCard, Discover and American Express.

  • Please Note: We DO NOT accept cash for supplements. Only Credit/Debit cards and Checks made out to DP&W can be accepted.


You have a right to ask for a Good Faith Estimate before receiving care.  Please understand that it is hard to predict everything the provider may determine that you may need depending on your symptoms, health conditions etc.  The fee schedule below lists our most commonly used charges and not inclusive of all charges.  This is intended to give you an estimate and our billing specialist will be glad to discuss any questions you may have.  Please ask to speak with a billing specialist if you have questions.