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Financial
Policy
Payment is expected at the time of
service for all office visits. Our
office staff will confirm your primary insurance coverage, and file claims with
your primary insurance carrier for office services. Any balance due after insurance payments will
be reflected on your monthly statement and will be due upon receipt.
We participate with most insurance
programs. Most of the plans require a
co-payment at the time of service. Due
to constantly changing status of these plans, our participation is always
subject to change, and current participation is not a guarantee of continued acceptance of these plans.
For this reason, please discuss any anticipated changes of insurance
with your physician.
We will file primary insurance claims
for any physician services provided to you by our practice during a
hospitalization. You will be responsible
for providing the office with all the information necessary to file your insurance
claims.
I acknowledge that I understand and accept this financial policy.
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