Out of Network. If my treating dentist is not a participating provider with my insurance, I will be required to pay for all treatment in full, in advance. The practice may file for insurance coverage as a courtesy and apply anything they pay towards my account. If payment from my insurance company results in an overpayment on the account, I will be reimbursed by the practice.
Appears in 21 contracts
Samples: General Consent Agreement, General Consent Agreement, General Consent Agreement