Patient Resources

Billing And Insurance

Billing and repayments have become increasingly complex due to the proliferation of managed care companies. If we have signed a participating agreement with your insurer, we will bill them. You are responsible for your co-pay at the time of service. If we do not participate in your insurance plan, payment is expected at the time of your visit. If you are an established “self-pay” patient and need to make payment arrangements please contact our billing department prior to your appointment. While we are here to help, it is ultimately your responsibility to understand your insurance benefits with your insurance carrier. Some policies have very intricate rules about what is and is not covered. If you have traditional major medical coverage, reimbursement is frequently based on the company’s own schedule of reasonable and customary fees for each procedure or exam. Unfortunately, your company’s reasonable and customary fees frequently do not reflect the fees that are typical of Ob/Gyns in the area.

Click Here to Download the General Office Financial Policy Click Here to Download the Obstetric Financial Policy Insurance list

Important Information about the Affordable Healthcare Act. Please click here to read more. Please be aware that phone calls and messages to the doctors and clinical staff pertaining to your medical care may incur a charge that will be billed to your insurance company.

Request Medical Records

To request transfer of your medical records to our office, please print and complete the medical records request form. To transfer your medical records from our office, please print and complete this form. For in-office mammography, to request authorization for the release of patient information pursuant to 45 CFR 164.508

New Patient Registration

Thank you for scheduling your initial appointment with The Northwestern Specialists for Women. To expedite the check-in process, please print and fill out the history form in the link below and bring it with you to your first visit. It is important for you to arrive at our office at least 30 minutes prior to your appointment time in order to fill out other necessary paperwork. Your appointment may need to be rescheduled if you have not checked in within this time frame. Thank you, and please click here to download the New Patient History form.

Links

Here is list of useful informational websites.

American College of Obstetricians and Gynecologists
American Medical Association
Centers for Disease Control
Northwestern Memorial Hospital
Prentice Women's Hospital
Endometriosis Association
North American Menopause Society
National Osteoporosis Foundation
Gardasil (HPV vaccine)
LaLeche
Postpartum Depression Alliance of Illinois

Prescriptions

To make a prescription refill request please call 312-775-1100 during normal business hours. You can automatically refill your prescriptions at many major pharmacies. Click on the links below to create an account with your chosen pharmacy. Please be aware that routine medication refill requests are handled during normal business hours only. Requests submitted after hours or on weekends will be handled the next business day.

Osco Walgreens CVS