MISSED APPOINTMENTS: Your appointment time has been set aside for you, which makes it unavailable to other patients. Therefore, we require at least 24 hour advance notice if you need to cancel or reschedule your appointment. Failure to cancel or reschedule the appointment within 24 hours of the scheduled appointment time will result in a $50 missed appointment fee. Appointment reminder calls are made 48 hours before your appointment to ensure that you are aware of your appointment, and to allow time for you to reschedule, if necessary. If you need to reschedule or cancel your appointment, please do so as soon as possible to avoid the cancellation fee. We truly appreciate you as a patient, and understand that your time is valuable.
CO-PAY, COINSURANCE AND DEDUCTIBLES: Payment of co-pays, deductibles, and coinsurance must be paid at the time of service. This arrangement is part of your contract with your insurance company. For your convenience we accept cash, checks and all major credit cards.
NON-COVERED SERVICES: Our providers follow appropriate evidenced based guidelines based on your medical condition. Please be aware that some of the services you receive may not be covered or considered reasonable or necessary based on the benefits of your insurance plan. You will be financially responsible for the cost of services provided but not covered by your insurance company.
PATIENT INFORMATION/PROOF OF INSURANCE: It is your responsibility to provide us with accurate and timely insurance and demographic information. Upon arrival for every visit, you will be required to provide our staff with a legal form of photo identification, insurance card(s) and any other pertinent information that will assist in making sure your visit is billed appropriately. If services are denied or not covered as a result of inaccurate or untimely information provided to our staff, you will be responsible for the payment of all charges associated with that date of service. Additionally, if services are retroactively denied for a previous date of service due to insurance eligibility issues, you will be responsible for the payment of all charges associated with that date of service.
RETURNED CHECK CHARGE: Non Sufficient Funds (NSF) checks are subject to a $25 fee.