Printable View
|
What payment arrangements are available? |
|
|
We want you to receive the best value in healthcare available. To accomplish this goal, we need to work together to minimize the high cost of healthcare. For all medical services provided in this office, inclusive of diagnostic laboratory testing, radiology and rehabilitation services, payment is due at the time services are provided. Unless other arrangements have been made in advance with our office, co-payments may be requested upon checkin, but full payment is expected upon checkout in cash or, with proper identification, by personal check, money order, VISA, MasterCard, Discover, or American Express credit card. For our patients with medical insurance coverage, the appropriate co-payment, deductible, or non-covered billable portion of the charges are due and payable upon checkout. When your insurance coverage is confirmed, we will file the unpaid remaining charges with your primary insurance carrier. If your insurance denies payment on all or part of the filed amount, all remaining amounts after contractual adjustments shall be patient responsibility and shall be due in full. If your insurance fails to respond to a filed claim within 60 days after our submittal, any remaining amounts shall be patient responsibility and shall be due in full. For our self-insured or uninsured patients, the lesser of full payment or $125 is due at time of service. For services exceeding $125 on the same day, a 20% cash discount will be given for payment in full. Payment arrangements can be made for self-insured patient balances or balances remaining after all applicable co-payments and insurance coverages have been received or exhausted as follows: Minimum monthly payment is the lesser of $25/month or the account balance when the original agreement balance is under $150.Patients with account balances will receive a monthly statement of activity. Should a second monthly statement become necessary for failure to receive full payment or establishment of a payment plan, patient will have 10 days to make payment in full or be assessed an additional $10 processing fee. We will make every effort to work with you and your insurance carrier, when applicable, to keep your account current. If circumstances of non-compliance and/or non-cooperation occur, we reserve the right to take whatever legal or other action is necessary to bring your account current, including, but not limited to, outside collection proceedings and/or termination from the practice. SAMA - The Right Choice in HealthCare |
|