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Financial Policy

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.

For patients that require additional assistance, our office management will help you in the development of a payment plan and assist in filing your insurance as needed.

Please notify the office if you have a change in insurance, address, or phone number. It is important that the office has a copy of your current insurance, Medicare or Medicaid (cards) so that your claims are filed appropriately. If your insurance plan requires a referral for office visits, a referral must be received prior to your visit.

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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