Hi Toby,
I have a very small cash pay percentage of my payor mix.
It amounts to perhaps one pt per day, or less who has no health insurance and pays so little for health care. We offer a discount for payment on same date of service. While $25 seems like so little, it probably translates into $50 of equivalent health insurance charges. When you account for my biller's time, claim submission fees to our clearing house, submission and resubmission to the insurance company to get my money, then not seeing that money for several weeks to months.... we spend a lot to collect what we charge. Cut out the middlemen and health care would cost a lot less.


Adam Lauer, DO (solo FP)
Twin City Family Medicine
Brewer, ME