Billing & Medical Records
Co-pays are due at the time of service. We accept most major credit cards or personal checks.
Copies of pertinent medical records are available to patients or an authorized representative for a nominal fee after an Authorization for Release of Information form has been completed. The Jackson Clinics are more than happy to provide the necessary documentation to assist in your care, however, we want to ensure your privacy is protected.
To receive a copy of your medical records please complete our authorization for release of information form and send it back using one of the following methods:
Mail:
The Jackson Clinics
P.O. Box 1769
Middleburg, VA 20118
Fax: 540-687-8256
Email: This email address is being protected from spambots. You need JavaScript enabled to view it. medicalrecords@thejacksonclinics.com
Charges: $10.00 fee in addition to $0.50 per page (up to the first 50 pages) and $0.25 per page thereafter.
Pre-Payment is required for your medical records. You may pay online at https://thejacksonclinics.com/make-payment/ and select Medical Records from the drop down bar.
Some insurance contracts require you to pay a certain amount each visit. This amount is called a co-pay. Co-pay amounts can vary depending on your individual policy. Co-pays are expected to be paid on your arrival each visit.
Your responsibility (at the time of service) as determined by certain health insurance plans. Typically a percentage of the charge allowed by your insurance plan (i.e. 10%, 20%).
The deductible is the amount you are required to pay before your insurance begins payment. In most cases, when you see practitioners that are “in network”, there is no deductible. Deductibles vary depending on your individual policy. You should check with your insurance company to determine your individual plan coverage. If you have a deductible and have not met it, payment is expected each visit until your deductible is met.
In most cases, health insurance will cover your treatment. We take virtually all insurances with few exceptions. Make sure you talk to our office manager to help you clarify your insurance coverage.
View the list of insurance plans accepted by the Jackson Clinics on our Insurance List page.
