Insurance Reimbursement. Therapist is not a contract provider with any insurance company or managed care organization. Should Patient choose to use his or her insurance, Therapist will provide Patient with a statement, which Patient can submit to the third-party of Patient’s choice to seek reimbursement for fees already paid.
Appears in 4 contracts
Samples: Agreement for Service / Informed Consent and Notice of Privacy Practices, Agreement for Service / Informed Consent and Notice of Privacy Practices, Agreement for Service / Informed Consent and Notice of Privacy Practices
Insurance Reimbursement. Therapist is not a contract provider with any insurance company or managed care organization. Should Patient Representative choose to use his or her insurance, Therapist will provide Patient Representative with a statement, which Patient Representative can submit to the third-party of PatientRepresentative’s choice to seek reimbursement for fees already paid.
Appears in 1 contract
Samples: Agreement for Service / Informed Consent for Minors and Notice of Privacy Practices