top of page

SERVICE PAYMENT

PORTAL

Payment is due at the time services are rendered. For your convenience, the credit card information you enter upon registration will be securely processed within our portal. 

BY PHONE

Things happen.To make a payment on a balance due, arrange payment, or discuss any other billing concerns, contact us at 512-253-8500.

ONLINE

Contact info@capitalocd.org for account balance. To make a one-time PayPal payment, copy and paste this link: paypal.me/capitalocd

Insurance Disclaimer

​

We are not in-network with insurance providers. You may wish to consult with your insurance company to inquire about reimbursement for services. We will provide you with monthly receipts, if you request. With your consent and appropriate information, our providers will be able to contact your insurance company if your out-of-network reimbursement would require prior authorization. However, reimbursement is considered a matter between you and your insurance carrier.

 Good Faith Estimate

​

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

​

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate.

  • For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 512-253-8500.

​

Additional information:

  •  A good faith estimate isn’t a bill.

  • The good faith estimate shows the list of expected charges for items or services from your provider or facility. Because the good faith estimate is based on information known at the time your provider or facility creates the estimate, it won’t include any unknown or unexpected costs that may be added during your treatment. Generally, the good faith estimate must include expected charges for:

    • The primary item or service

    • Any other items or services you’re reasonably expected to get as part of the primary item or service for that period of care.

  • Providers and facilities must give you the good faith estimate:

  • After you schedule a health care item or service. If you schedule an item or service at least 3 business days before the date you’ll get the item or service, the provider must give you a good faith estimate no later than 1 business day after scheduling. If you schedule the item or service OR ask for cost information about it at least 10 business days before the date you get the item or service, the provider or facility must give you a good faith estimate no later than 3 business days after you schedule or ask for the estimate.

  • That includes a list of each item or service (with the provider or facility), and specific details, like the health care service code.

  • In a way that’s accessible to you, like in large print, Braille, audio files, or other forms of communication.

  • Providers and facilities must also explain the good faith estimate to you over the phone or in person if you ask, then follow up with a written (paper or electronic) estimate, per your preferred form of communication.

  • The Good Faith Estimate is not a contract.  It does not obligate you to accept the health care services described.  

​

  

bottom of page