Articles

Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES  
 
LAURA WAGNER, INC
effective April 14, 2003
 

 
 
THIS NOTICE DESCRIBES HOW YOUR PROTECTED HEALTH INFORMATION (PHI) MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION:

  • Treatment: To provide, coordinate or manage your health care and related services.
  • Payment: To bill and collect payment for the services and items you may receive from us.
  • Health Care Operations: To operate our business.
  • Appointment Reminders: To contact your and remind you of an appointment.
  • Treatment Options: To inform you of potential treatment options or alternatives.
  • Health-Related Benefits and Services: To inform you of health-related benefits or services that may be of interest to you.
  • Release of Information to Family/Friends: Our practice may release your IIHI to a friend or family that is involved in your care, or assists in taking care of you.
  • Disclosures Required By Law: Our practice will use and disclose your IIHI when we are required to do so by federal, state or local law.

USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION IN SPECIAL CIRCUMSTANCES:

We may use and disclose your private health information in regards to: public health risks; health oversight activities; lawsuits and similar proceedings; law enforcement; deceased patients; organ and tissue donation; research; serious threats to health or safety; military purposes; national security; inmates; workers compensation.

AS A PATIENT YOU HAVE A RIGHT TO:

  • request that our practice communicate with you about your health and related issues in a particular manner or at a certain location. We will accommodate reasonable requests.
  • request restrictions in our use or disclosure of your IIHI.
  • inspect and obtain a copy of your medical records and billing records, excluding psychotherapy notes.
  • request us to amend your health information if you believe it is incorrect or incomplete.
  • request an accounting of disclosures.
  • receive a paper copy of our Notice of Privacy Practices.
  • file a complaint if you believe your privacy rights have been violated.
  • provide and authorization for other uses and disclosures.

Please direct questions regarding this notice to:
Attn: Privacy Officer
Laura Wagner, Inc.
14377 Woodlake Drive Suite 111
Chesterfield, MO 63017
Phone (314) 441-1111 Fax (314) 441-1112


The terms of this notice apply to all records containing your IIHI that are created or retained by our practice. We reserve the right to revise or amend this Notice of Privacy Practices. Any revision or amendment to this notice will be effective for all of your records that our practice has created or maintained in the past, and for any of your records that we may create or maintain in the future. Our practice will post a copy of our current Notice in our offices in a visible location at all times, and you may request a copy of our most current Notice at any time.

Our Billing Policy

For billing and insurance questions, call  636-485-6939

INSURANCE
We are responsible for filing billable charges to your insurance if we participate in your plan. Please check 'Our Participating Plans' under the Insurance tab for a list of plans. Be sure to move the curser over your plan name to see if there are any restrictions on your plan.  

In order for us to submit a clean and timely claim for you, we need your help.  Please carefully review all items under the Insurance tab to find out about your responsibilities.

BILLING POLICY
Review all bills for accuracy. If you think there is a billing error, please contact us immediately to allow time for corrections to be made.

Balance Billing:
We will balance bill you for any unpaid charges after insurance has processed your claims.  

Payment Due Dates:
Payment in full is due by the due date on your bill, unless other arrangments have been made with our office.

Payment Plans:
If you are not able to pay your balance in full upon receipt of your bill, please contact us immediately to discuss a payment plan.  Payment plans must be authorized by our office.  If you decide to make partial payments without an authorized payment plan, your account will continue to age and could reflect a past due status.  Once a payment plan has been established, please make payments as promised.  If you are not able to pay as promised, contact our office immediately.

Keep in mind, it is much easier to agree to a payment plan if you call before your account is past due. 

Past Due Accounts:
An account is considered past due if payment in full is not received in our office by the due date, unless other arrangements are made.

Final Notices:
If you receive a Final Notice, your account could be referred for collection without further notice.  You might incur a collection fee.  If referred for collection, this could result in your dismissal from this practice.



  


 

Severe Weather

In the event of severe weather, we make every attempt to notify you if we are closing. Please be sure to call us if the weather is questionable and you don't hear from us. 

call    314-434-1111 ext. 44   for a message about any changes in our hours.

  

  

Patient Responsibility

It is the patient or guardian responsibility to:

Arrive on time for the appointment, with all necessary information.

Repeated no shows or cancels may result in a fee to the patient.  We need adequate time to contact patients on the wait list if you need to cancel or reschedule.

Provide current insurance information.
If you have insurance, please refer to the the Insurance tab for all of the details!  

Provide completed and signed forms when requested.

  • completed registration forms
  • written referral if required by your insurance
  • insurance cards
  • photo identification
  • co-pay

Notify our office of any changes in name, address, phone and insurance before each visit.

Provide referrals if required.
Please refer to Referrals under the Insurance tab for details!


Stop at the Check Out Desk after your appointment. We will:

  • collect your co-pay
  • schedule follow-up appointments
  • have you sign Medical Release forms if necessary
  • provide written Rx to you if necessary
  • provide written excuses to you for work or school if necessary

Pay co-pay:  Copays are due at the time of your visit.
For your convenience, we accept the following forms of payments:

  • MasterCard
  • Visa
  • Discover
  • American Express
  • Check
  • Cash 

Pay Patient Balance:
Payment in full is due upon receipt of your first bill. We are happy to work with you and extend special payment arrangements to you if you have a larger balance and are not able to pay in full by the due date. We do request that you call upon receipt of your first bill. It is important that we note your account as on a payment plan to avoid aging and moving to collections, even if you are making partial payments. So please call!

 

 

 

 

 

 

 

 


 

 

 

 

 

 

Copyright © 2026 Laura Wagner, MD. All Rights Reserved.
14377 Woodlake Dr. #111 • Chesterfield, MO 63017
314-434-1111