Common use of ASSIGNMENT OF INSURANCE BENEFITS Clause in Contracts

ASSIGNMENT OF INSURANCE BENEFITS. I agree that physician benefits otherwise payable to the insured are to be made payable to the physician(s) responsible for my care. Any payment received for this period may be applied to any unpaid bills for which I am liable, subject to the rules of coordination of benefits. Refusal to authorize assignment of benefits will require payment in full by cash, check or credit card at the time of service.

ASSIGNMENT OF INSURANCE BENEFITS. I agree that physician benefits otherwise payable to the insured are to be made payable to the physician(sphysicians(s) responsible for my care. Any payment received for this period may be applied to any unpaid bills for which I am liable, subject to the rules of coordination of benefits. Refusal to authorize assignment of benefits will require payment in full by cash, check or credit card at the time of service.

ASSIGNMENT OF INSURANCE BENEFITS. I agree that physician benefits otherwise payable to the insured are to be made payable to the physician(sprovider(s) responsible for my care. Any payment received for this period may be applied to any unpaid bills for which I am liable, subject to the rules of coordination of benefits. Refusal to authorize assignment of benefits will require payment in full by cash, check check, or credit card at the time of service.

ASSIGNMENT OF INSURANCE BENEFITS. I agree that physician benefits otherwise payable to the insured are to be made payable to the physician(s) responsible for my care. Any payment received for this period may be applied to any unpaid bills for which I am liable, subject to the rules of coordination of benefits. Refusal to authorize authorized assignment of benefits will require payment in full by cash, check or credit card at the time of service.