FEES & FINANCIAL INFO
Fees & Financial Policy
Our fees are determined by the value we place on the services
rendered, the cost involved in delivering that service and by what is
considered reasonable and customary in our community. If you have any
questions, please do not hesitate to discuss our fees with us. We are
always willing to explain the different options for treatment of a particular
problem and the advantages and disadvantages of each.
Payment is requested from all of our patients at the time the service
is rendered. Patients with health insurance are allowed to pay their deductible,
co-insurance and remaining balance that is their responsibility at each
visit.
It is our firm office policy that all services rendered in this office
are charged directly to you, the patient. You are personally and fully
responsible for all payments regardless of whether or not we accept insurance
assignment. Insurance is an agreement between you and your insurance company.
All questions regarding coverage should be directed to your insurance
company or benefit administrator. We will continue to submit claims as
an added service to our patients.
Patient balances are required to remain below $150.00. we realize there
may be special circumstances and periodic difficulties with finances.
If special needs do arise our accounts manager would be happy to discuss
special financing involving your specific treatment plan.
For your convenience we accept payment by MasterCard/Visa, Discover,
personal check, or cash. Receipts will be given when requested.
We sincerely appreciate the trust you have placed in us and we will always
do our best to provide you with individualized, quality care. We feel
good communication is essential in a good and lasting relationship with
our patients.
Insurance, Worker's Compensation & Personal Injury Claims
As a courtesy to our patients, we will complete and file an insurance
claim for each visit (providing we have your correct insurance information
and a signature on file). Please feel free to discuss your coverage with
us. Health insurance is an agreement between you and your insurance company.
Therefore, we consider our patients personally responsible for all charges
generated in our office.
Workers Compensation (WC) Claims
Patient must inform us prior
to treatment that this is a WC claim. Employer information and authorization
is required prior to treatment. Our insurance specialist will submit WC
claims directly to the WC insurance unless other arrangements have been
made.
Personal Injury (PI) Cases
Patients must inform us prior to treatment
that this is a PI case. Necessary insurance information must be on file
prior to treatment. Our insurance specialist will submit PI claims directly
to the patients insurance company. It then is the responsibility of your
insurance company to determine responsible party/parties for submission
and payment.
Our policy allows your insurance company 60 days to remit payment. In
the event your insurance fails to pay within 60 days or if there is a
dispute over a claim, the balance of the claim(s) would come due. Any
over-payments will be refunded.
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