Office Location
We are located at 8255 East Main Street in Marshall, Va.
at the corner of East Main Street and Old Stockyard Road.
Phone: 540-364-1581
Hours of Operation:
Monday – Friday, 7:30 AM to 5 PM
Holidays – Closed on Christmas Day, Thanksgiving Day, New Year’s Day, Memorial Day, 4th of July, and Labor Day
Billing and Insurance
Billing Policies:
Payment-in-full is required at the time of service if you do not have insurance coverage (self-pay). For some types of examinations (e.g. DOT, FAA/ATCS), or vaccines, payment may be required up-front before the visit. For questions about billing contact our billing office at (540) 364-1581, ext 168. We accept Cash, Check, Visa, Mastercard and Discover.
For patients with insurance, copays are due at the time of service. Our office will submit your insurance claim in a timely manner. All balances not paid by your insurance company are your full responsibility and payment is due upon receipt. We will make every effort to obtain your payment when a bill is due, however, please be aware that overdue accounts may be submitted to a collections agency if we have not received payment within a reasonable timeframe.
You will be responsible for providing us updated insurance information at the time of your visit. If you do not provide us with a current insurance card, payment will be due in-full at the time services are rendered. Upon submission of a valid insurance card, we will submit your charges to your insurance company; however, any claims denied due to untimely filing as a result of invalid insurance will be your responsibility.
Insurance:
At Countryside Family Practice, we participate with most insurance plans (see list below), however this list is subject to change. If you do not see your insurance listed, please contact our billing office at (540) 364-1581, ext. 168, for further inquiry. We will file your claim to your insurance company requesting payment for services rendered, and you are responsible for your co-pay at the time of service. All balances not paid by your insurance company will be your responsibility.
Aetna
Anthem/Anthem Healthkeepers
Assurant Health
Blue Cross/Blue Shield
Carefirst
Cigna
Co UMR
Coventry
Freedom Life Insurance
GEHA
Golden Rule
Great West
Healthlink
Humana
Mail Handlers
MDIPA
Medicare
Multiplan
Mutual of Omaha
One Net
Optima Health
Optimum Choice
PHCS
Principal Life Insurance Co.
Railroad Medicare
Southern Health
Tricare Standard/Tricare for Life
United Healthcare
WEB TPA (Standard)
Worker’s Compensation
Please note:
If your insurance plan is an HMO, one of our doctors must be listed as your PCP on your insurance card. You must call your insurance company to have this discrepancy corrected before services can be performed by our doctors.
If you wish to be seen for a worker’s compensation claim, you must call your employer/claims adjuster prior to the appointment to verify that you are eligible to have your care provided at Countryside Family Practice. Failure to do so prior to your appointment may result in your financial responsibility for the charges of the care provided to you.
Policies and Forms
Confidentiality and Privacy:
Your medical record is strictly private. Our office and staff are compliant with HIPAA privacy standards, and we will treat your protected health information according to the law and consistent with our Notice of Privacy Practices (see new patient Forms). We will not give out information regarding your condition to your employer, friends, or relatives without your written consent. The only exception to this is when required by law as in industrial injuries, assaults, risk of harm to self or others, or when we have received a valid subpoena for medical records in a legal proceeding.
New Patient Forms:
Please click below for more information and access to the New Patient Forms:
Medical Records and Referrals
Referrals, Medical Records, and Prior Authorizations:
We have staff trained to assist you with referrals to specialists, medical records requests, and insurance prior authorizations. If you need to speak with someone related to one of these concerns, please choose the correct telephone option. Your concern will be addressed as quickly as possible. The direct phone line for medical records, referrals and prior authorizations is (540) 364-1581, extension 167.
Copying of Medical Records:
If you need records sent to another medical provider or office, you may print and complete the Medical Records Release Form. You may mail, drop off, or return this form to us via fax at (540) 364-7314, signed, and we will promptly forward your medical records. For your convenience you may contact our office and request the medical records department. There may be a reasonable charge to cover the administrative costs of copying your records, to be sent to another office or institution, as set by Virginia Code § 8.01-413.
Requests for Physicians to Complete Paperwork/Forms:
If forms are requested to be filled out by the physician, outside of an office appointment, there may be a reasonable charge associated with this service. Typical fees are $25 for basic forms, or $50 for more complex forms (Note: fees are subject to change, and at the discretion of the doctor completing the paperwork). Examples of this include but are not limited to: disability, FMLA, school/college/camp physical examination and Boy Scout/Girl Scout examination forms, claims related to workman’s compensation cases, requests/authorizations for special equipment or durable medical equipment (DME), Nursing Home or Assisted Living Care plans and financial hardship certifications for drug companies. If completed during an office visit for the purpose of completing paperwork, the physician may choose to waive an additional fee for form completion outside of the charge of the visit.