Payment and Insurance Sample Clauses

Payment and Insurance. Payment for invoices, as well as insurance requirements are due 10 days prior to the event. The District is not a sponsor or participant in the activities related to this facility use agreement. District employees that use or participate do so outside of the course and scope of their employment and are not covered under the District’s Worker Compensation program. See page 4 of this contract for insurance requirements.

Payment and Insurance. It is your responsibility to pay for the services you received at Graceway Psychology Group, LLC. If you opt to use your insurance coverage for services, please be aware ofthe following: • A mental-health related diagnosis will need to be included in each claim. It may become part of your permanent mental-health record. • • Your benefit for psychotherapy might not be the same as your benefit of psychological testing. • With insurance, there is no guarantee of payment, and you are responsible for all fees that your insurance provider does not cover. • Insurance does not cover payment for missed appointments or appointments cancelled with less than 24- hour notice. If you choose to have treatment service be kept private, no diagnosis will be entered in your permanent medical records and your insurance provider would not be informed of yourtreatment. Payment can be made by cash, credit card, or check payable to Graceway Psychology Group, LLC. There is a $35.00 fee for all returned checks. If your account has not been paid for more than 30 days and arrangements for payment have not been agreed upon, your services will be terminated. Graceway Psychology Group, LLC has the option of pursuing any payment permitted by law.

Payment and Insurance. Payment is expected at each session. Acceptable payments include cash, personal checks, bank debit, major credit, and Health Savings Fund cards. If you choose to use a credit card, a % .04 will be added to total amount charged.

Payment and Insurance. Payment is expected at the time of service. We accept cash, check, and all major credits cards. It is IIAT policy not to let outstanding bills exceed $200 without payment. If a credit card chargeback/reverse or returned check fee occurs, you will be responsible for those fees. IIAT does not participate in any insurance provider networks. We will provide you with an invoice for services that contains the information that most insurance companies request. It will be your responsibility to submit your bills for reimbursement. If you request, we will complete forms that are required by your insurance provider once you have signed a release of information authorizing us to provide information about your treatment. Please note that the diagnostic and clinical information that is released will become part of the insurance company's records. Each company has it own procedures for handling and storing your information. We cannot guarantee that they will handle with the appropriate confidentiality once it leaves our office. If you have TRICARE insurance there is an additional form that needs to be reviewed and signed in order for you to seek reimbursement.

Payment and Insurance. All payment for services is due immediately prior to your meeting. In order for us to set realistic treatment goals and priorities, it is important that we both understand what resources you have available to pay for your treatment. We generally discourage any accumulation of debt. If your account has not been paid for more than ninety days and arrangements for payment have not been agreed upon, Xxxxx Mental Health Counseling Services, LLC has the option of using legal means to secure the payment.