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Pain Clinic FAQ

How do I become a patient at St. John’s Interventional Pain Clinic?

  • You will need to get a referral from your spine surgeon or specialist. Internal departments at St. John’s Health can also make referrals, including oncology, physical/occupation therapy, or inpatient units.

Why do I need a referral from my provider if my insurance does not require a referral?

  • We understand your time is very valuable. We evaluate the medical information provided to us by your referring physician to ensure we are the best place for you to receive treatment. We work in conjunction with your referring provider to make sure we have all the necessary information before proceeding.

What types of insurance do you accept?

  • Blue Cross Blue Shield of Wyoming, Medicare, First Choice of the Midwest, United Healthcare, Cigna, and many more.
  • View a full list of In-Network Providers
  • Many insurance plans cover out-of-network facilities or offer single-case agreements.
  • We also offer programs to help patients; learn more about financial assistance
  • If paying by cash, the Patient Assistance Team has a price list available.

How am I going to get billed?

  • • You will receive a bill from St. John’s Health. Most insurance companies pay a percentage of your visit depending on deductible and copay. If paying cash, we do offer discounts or payment plans, so contact our billing department prior to your first visit to discuss. Learn more about understanding your bill.

What can I expect at my first appointment?

  • Most times your referring provider wants a specific treatment plan, in which we work closely with him/her to oblige and follow up with patient progress. Often a consultation with Dr Tomlinson will be required for the treatment that the referring provider is requesting.

What to bring to your first appointment?

  • Photo I.D.
  • health insurance card
  • insurance authorization (if required)
  • recent test results related to your condition (MRI/CT imaging)
  • list of your medications/allergies
  • list of any questions you may have regarding your care

Who will be involved in my care?

  • Dr. Dave Tomlinson is an anesthesiologist who performs injections and interventions with and without ultrasound or fluoroscopy (x-ray) as ordered by your referring provider.
  • St. John’s Interventional Pain Services will work with your referring provider and medical care team to coordinate your care and help improve your overall quality of life.

What can I expect in my treatment plan?

  • We can usually schedule ordered interventions within 2 weeks, depending on how long it takes to get pre-authorization from your insurance company.

Does St. John’s Health Pain Clinic have pain contracts for opiate medications?

  • No, St John’s Health Pain Services is an intervention services practice only. For any chronic pain medication prescriptions, your primary care provider can direct you to a provider to assist you with these needs.

What can I expect for my procedure?

  • Most procedures are done with local anesthetic only, and you can eat and drink normally. Prepare to be here for 1 hour if having an injection.
  • If procedures require moderate sedation, we will inform you ahead of time, and ask that you not eat or drink 12 hours prior to the procedure.
  • If you take blood thinners, please let us know when you schedule your appointment. We work with your provider to have you stop your blood thinners prior to the injection, and for the least amount of time possible.
  • Most people can resume normal activity immediately following the injection.
  • Expect to have 1-2 hours numbness due to the local anesthetic used during the procedure. Most times, there is also a steroid used in the injection, which can have lasting effects, but typically does not provide optimal relief for 3-4 days.
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