IMPORTANT INSURANCE/PAYMENT INFORMATION
Insurance:We participate in selected PPO insurance plans. Every effort will be made to ensure that claims are promptly and correctly submitted to your insurance company. Knowledge of your insurance benefits is your responsibility. We do not take any HMO or DMO plans. Your insurance company has 30 days after receiving correctly filed claims to process, pay, and/or give notice as to why the claim is not paid. After that, the remaining balance is your responsibility. If you are not satisfied with the payment made by your insurance company, contact them directly at the phone number listed on the back of your insurance card. Please contact your insurance company with any questions you may have regarding your coverage.
Co-Payments and deductibles: All co-payments, co-insurance and/or deductibles must be paid at the time of services. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments, coinsurance and/or deductibles from patients may be considered insurance fraud. Our office accepts Visa, MasterCard, American Express, Discover Card, and debit cards, as well as cash, checks and money orders.
Non-covered services: Please be aware that certain procedures may not be covered by insurance. If services are not covered by your insurance, or if you do not have insurance, payment is expected at the time of service unless payment arrangements were made in advance.
Proof of Insurance: We will ask to make a copy of your insurance card and ask that you complete our patient information forms before being seen by the doctor. We may ask for a photo identification to verify who you are.
Late Payments: An interest charge of 1.5% per month is assessed to all accounts that are past due. Failure to pay your bill within 90 days will result in your account being turned over to a collection agency and reporting to the credit bureau. There will be a $45.00 fee for any NSF check.
Divorce Decrees: This office is NOT party to your divorce decree. The responsibility for minors rests with the accompanying adult.
