Billing FAQ
01
Why did I receive a bill from Mid Cities Psychiatry?
- You don’t have health insurance.
- Your health insurance had been termed at the time of the visit.
- The services you received are not covered by your insurance.
- You have a co-payment, co-insurance, or deductible that you did not pay at your visit
- What you paid as a co-payment, co-insurance, or deductible was an estimated payment
- You did not get a required referral from your doctor
- You received care outside your provider network
- You used up your insurance benefits. (Some health insurance companies limit coverage)
02
I have a Health Safety Net (HSN). Why am I getting a bill?
If you have HSN, (also called Free Care), we bill you if:
- You have an HSN deductible.
- You have private insurance and HSN, but did not pay your private insurance co-payment at your visit
- (HSN does not cover private insurance co-payments)
- You saw a provider who does not accept HSN
- Some medical facilities will not bill patients on Full HSN
- Some medical facilities will reduce bills for patients on Partial HSN by 70%
03
Why didn’t my insurance pay for my services?
- Your insurance carrier will forward an explanation of benefits (EOB) for your review; the form explains the payment or denial reason for the services rendered
- The services you received are not covered by your insurance.
- You did not get a required referral from your doctor
- You received care outside your provider network
04
When I paid or didn’t pay co-pay, co-ins, or deductible on my earlier visits, then why on my later visits, I’m asked to pay more or pay for co-pay, co-ins, or deductible?
- The claims take time to get processed or reprocessed anywhere from a week to a number of weeks and sometimes even months. Unless the claims are processed completely by your insurance company, we wouldn’t know how much exactly the co-pay, co-ins, or the deductible would be. Until then everything you paid or didn’t pay is an estimate.
05
What if my address has changed?
- Please contact the Appointment Team (AT) at 817-488-8998 and press 2 or send an e-mail at [email protected] and they will be happy to update your address information for you.
06
If I updated my insurance information, do I have to call my insurance company to pay my bill?
- If you updated your insurance information with the Billing Team, we will re-submit your bill to your updated insurance company to request payment.
07
Who do I contact if I do not have insurance?
- Mid Cities Psychiatry accepts self-pay patients.
Please contact the Appointment Team (AT) at 817-488-8998 and press 2 or send an e-mail at [email protected] and they will be happy to answer your questions/schedule an appointment for you.
08
What if I cannot pay my entire bill?
- Please call 817-488-8998 and press 6 to request to create a payment plan
You can also visit Mid Cities Psychiatry’s front-desk to assist you to create a payment plan
09
What if my insurance information has changed?
- Please contact the Billing Team at 817-488-8998 and press 6 or send an e-mail at [email protected] and they will be happy to update your insurance information for you.
10
Do I have to submit my bill to my secondary insurance?
- If we have all of your insurance information, we will bill your secondary insurance on your behalf.
11
How can I pay my bill?
- Please click Patient Portal to pay your bill online
- Please call 817-488-8998 and press 6 to pay your bill by phone via Credit Card
- Please mail a check or money order to the following mailing address:
Mid Cities Psychiatry
200 Westpark Way,
Euless, TX 76040
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- 200 Westpark Way, Euless, TX 76040
- (817) 488-8998
- (855) 295-2686
- Monday – Friday, 8 am-5 pm
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FAQ: Missed Appointments, Discharge, and Reinstatement Policy
01
Why does the clinic have a missed appointment policy?
Missed appointments and late cancellations make it difficult for us to provide timely care to all patients. By keeping your appointments or giving timely notice, preferably at least 24 business hours before when you need to reschedule, you help us manage our schedule, reduce waiting times, and ensure that everyone receives care when they need it.
02
What counts as a "no show" or missed appointment?
“No Show” occurs when a patient misses an appointment without notifying us or cancels with less than 24 business hours’ notice. Late cancellations are treated the same as no-shows.
To avoid being marked as a no-show, please contact us at least 24 business hours in advance to cancel or reschedule your appointment.
03
What happens if I miss several appointments?
Three no-shows within 90 days may result in termination of the physician-patient relationship.
04
Why is an active credit card on file required before scheduling an appointment?
Active credit cards on file are required to secure the appointment time and reduce last-minute no-shows. When a patient doesn’t arrive for a scheduled visit without proper notice, the provider’s time is lost and another patient who may have needed that slot misses an opportunity for care. Having a active credit card on file allows you to apply the standard no-show or late-cancellation fee only if the policy is violated. If the patient attends the appointment or cancels within the required timeframe, the credit card will not be charged.
05
Will my credit card be charged automatically?
No, the card is only charged when:
- There’s a no-show, or
- When an appointment is canceled/rescheduled within 24 business hours.
Otherwise, the card remains securely stored and unused. The card is NOT used for copays, deductibles, or any other charges without the patient’s consent.
06
Why would my account be marked “inactive” if the card on file declines?
If a no-show fee is charged and the credit card on file declines, your account becomes past-due. In these situations, we temporarily mark the account as inactive to prevent additional scheduling issues. The future appointments will not be scheduled. Once an updated, valid credit card is added to the account and any outstanding balance is resolved, the status returns to active, and the appointments can be scheduled again.
07
Is this policy common in healthcare?
Yes. Many medical and mental health clinics use this approach to protect appointment availability and ensure providers can offer timely care. Similar policies exist in number of other clinics especially the specialty clinics.
Does this mean the clinic is trying to penalize patients? No. The goal is to keep the schedule fair and accessible for everyone. No-shows impact the clinic, the provider, and other patients waiting for care. Keeping an active card on file helps maintain smooth operations and allows us to reserve time specifically for the patient.
08
What behaviors can lead to dismissal from the practice?
You may be discharged from the clinic for any of the following reasons:
- Repeatedly refusing or failing to follow your treatment plan or cancelling follow‑up visits.
- Ignoring office policies, such as appointment‑cancellation or prescription‑refill procedures.
- Verbally abusive, threatening, or violent language or behavior toward staff or other patients.
- Bringing firearms or other weapons into the clinic.
- Engaging in illegal activities, such as medication diversion or theft.
- Having significant unpaid balances and refusing to arrange a payment plan.
We will never dismiss a patient based on race, color, national origin, sex, age, disability, or other protected status.
09
How will I be notified if I am discharged?
If we determine that discharge is necessary, we will send you a letter through the certified mail notifying you of our decision. The letter will include an effective date (usually 30 days from the date of the letter) to give you time to find a new provider. We will continue to provide necessary care during that notice period and assist with transferring your medical records and finding another clinician.
10
What if my missed appointments are due to illness, stress, or other challenges?
We know that mental health issues, medical problems, and life challenges such as transportation, childcare, or work obligations can make it hard to keep appointments. Please contact us as soon as possible if you cannot make your appointment. We will work with you to reschedule, connect you to resources, or adjust your treatment plan. We may ask you to complete the RCN FeeWaiverRequestHardshipForm.docx to reflect your hardship.
11
How can I avoid discharge?
- Communicate with us: If you need to cancel or reschedule, call at least 24 business hours in advance.
- Participate in your care: Follow the treatment plan you and your provider agree upon and attend your follow‑up appointments.
- Respect staff and other patients: Use appropriate language and behavior.
- Manage medications responsibly: Take medications as prescribed and do not share or misuse them.
- Stay current on payments: Contact our billing office if you need help with your bill or setting up a payment plan.
12
Can I return after being discharged?
Reinstatement after discharge is not automatic. However, under certain circumstances, a former patient may be considered for return to care.
To request reinstatement, please submit a written request (by email or regular mail) explaining why you would like to be considered for re-entry into practice.
Before making a decision, we will evaluate:
- The reasons for your original discharge
- Whether those issues have been resolved
- The amount of time that has passed
- Your willingness to meet with us to review expectations and our Patient Rights & Responsibilities
Your request will be reviewed by your primary provider and our medical director. If approved, our scheduling team will contact you to confirm your reinstatement and set up your next appointment.
13
Where can I get more help?
If you have questions about these policies or need assistance with missed appointments, billing, or other concerns, please call our office.
- Appointments: For inquiries, rescheduling, or cancellations, contact us at 817-488-8998, ext. 2, or email at [email protected].
- Billing: For billing questions, reach out at 817-488-8998, ext. 6, or email [email protected].
- TMS/Esketamine/Ketamine Therapy: For inquiries, contact 817-488-8998, ext. 5, or email at [email protected].
For urgent medical issues, call 911 or go to the nearest emergency room.
