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| OFFICE BILLING POLICY |
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It is our goal to provide our patients with the most
thorough and up-to-date health care possible. This requires
good communication and "partnership" between you, the office
staff and your physician.
We will submit a claim for
you to insurance companies with which we are contracted for
covered services. In order to do so, we must have a current
insurance card. If you do not have a current insurance card we
appreciate and expect payment at time of service. We'll
provide you the information you will need to submit the claim
yourself. We do accept cash, check, Visa or Mastercard. We
have an obligation, by contract with insurance companies, to
collect all copays at time of your visit. We must add an
additional fee of $10.00 to cover our billing and
administrative cost. In addition, we have a $15.00 fee for all
checks returned from the bank with insufficient
funds.
There will be a $100.00 charge to you for
appointment cancellations with less than a 24 hour notice or
if you do not show for your scheduled appointment. We ask new
patients to give us their credit card number or a personal
check to hold their new patient appointment at the time you
schedule. If you write a check it will be returned to you at
the time of your appointment.
If you request telephone
management for a medical condition there will be a $25.00
charge payable at the time of service by either Visa or
Mastercard.
We are happy to fulfill your request for
administrative services such as letters to insurance companies
for preauthorization of non-formulary drugs, faxes to mail-in
pharmacies for prescriptions, etc. In order to comply with
this request there will be a $15.00 charge to you payable at
time of your request.
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