Patient Information

Billing Insurance for Lincoln & Crete NE Primary Care Patients

Welcome Lincoln & Crete NE Primary Care Patients

We are happy that you are choosing Saline Medical Specialties for your healthcare needs. In an effort to help you save time when you visit our clinic, please feel free to fill out the new patient forms and bring them to your appointment. When you visit us, please make sure to bring an identification document and your insurance information.

If you were a Saline Medical Specialties patient under previous ownership, please complete a Release of Information form and mail, fax, or deliver it to our offices.

Billing and Insurance

At Saline Medical Specialties, we will work with you and your insurance company to keep both you and your wallet healthy. We are able to accept commercial insurance, Medicare, Nebraska Medicaid, as well as self-pay patients.

For more information, please contact our offices and speak with our billing specialists.

Pay My Bill

To pay clinic bill, please click below. Paying online is quick and easy!

Download Forms Below

Worker's Compensation

Download the Worker’s Compensation form below.

Authorization for Disclosure of Protected Health Information

Download the fillable Authorization for Disclosure of Protected Health Information form below.

Notice of Privacy Practices Acknowledgement

Download the Notice of Privacy Practices Acknowledgement form below.

Request for Sharing of Treatment/Billing Information

Download the Request for Sharing of Treatment/Billing Information form below.

New Patient Intake and History Form

Download the New Patient Intake and History form below.

Consent to Treat & Financial Policy

Download the Consent to Treat & Financial Policy form below.