Returned Check Policy:
A $40.00 fee is charged per returned check. We can only accept cash or cashier's check in exchange for a returned check. Partial payments are not accepted. Payment is required for the returned fee and check prior to any further visits. After a check has been returned, we will no longer accept checks to pay your account. After a 10 day period, returned checks will be filed with the District Attorney's office for prosecution. This action cannot be rescinded.
For patients who do not have insurance, a down payment is required prior to the appointment. The amount paid reflects the price of the office visit and cost of testing a urine specimen only. If any other procedures or actions are taken during the appointment, patients will be billed for the remaining cost.
We make every attempt to work with you and control our fees but please keep in mind that our charges are within the range of what is usual and customary for this area.
Insurance Copays and Deductibles:
Insurance is a contract between you and your insurance company. As a courtesy, we will submit appropriate insurance claims to your insurance carrier. However, the patient (responsible party) is responsible for all fees regardless of insurance coverage.
We are committed to providing the best treatment for our patients. However, not all services are covered benefits in all contracts. Therefore, insured patients may have an account balance after the insurance company assigns benefits to us. In this event, we will notify you so you may satisfy the remaining balance. If you feel your insurance carrier has not paid correctly, please contact them. We will not be able to provide you with any specific information regarding your particular insurance policy, nor can we change any of your personal information with them.
All copayments will be collected at time of service. Deductibles and coinsurance amounts are expected within 30 days of notice. Please be aware copays, deductibles, and non-covered services are set by your insurance company. We allow 30 days for your insurance company to make payment. After this time, the balance becomes your responsibility to pay.
All balances, regardless of insurance benefits, are considered delinquent 60 days after date of services rendered. Accounts that are 90 days past due will be subject to collection action. Any legal activity would cause a breech in the physician/patient relationship, resulting in discharge from our practice. If you have any questions or need clarification of the above listed policies, do not hesitate to contact our office.
No Show and Late Patients:
A fee of $75.00 will be charged for anyone who does not call to cancel or reschedule at least one business day prior to the appointment. We understand emergencies happen, but please keep in mind there is a difference between "an emergency" and "something came up." This charge is the patient's responsibility and will not be filed to insurance or applied to motor vehicle/workers compensation charges. Payment for this charge is required prior to your next appointment.
Each patient is entitles to one copy of his/her medical records at no charge. A request will need to be signed with the front desk and submitted. Medical records requested by insurance companies, Social Security, and attorneys will be mailed to the requesting company with an invoice for copy charges. Medical records obtained by other facilities will not be copied and included unless the order for testing came from our office.