Burkhart offers complimentary billing to patients with health insurance. Patients may be responsible for a co-insurance, deductible amount, or full payment depending on individual plan and coverage. Out-of-network benefits and deductibles will apply for non-participating insurance companies. Personal injury and auto insurance may be billed on a case by case basis. We do not accept assignments on insurance we do not participate with, and we do not participate with Medicaid. Direct and prompt payment is expected for non-billable services rendered.