INSURANCE POLICY AGREEMENT
PROFESSIONAL FEES ARE DUE AT THE TIME OF SERVICE
If you are an insured patient, you will be requires to satisfy any co-payment or deductible amounts due at the time of service. Once your co-payment or deductible has been satisfied, your insurance company will be billed for the services rendered. Outstanding balances will be billed to you after your insurance company processes you claim.
You will be responsible for the cost of all services rendered if we do not accept your insurance. Your insurance company will be billed for the services rendered if we accept your insurance. If we do not accept your insurance; a claim will be billed as a courtesy, and your insurance company will reimburse you directly. In the event that your insurance company denies your claim and you are responsible for the balance of the services rendered, payment in full will be expected within the 30 days of the denial date.