Common Contracts

1 similar Patient Financial Responsibility Agreement contracts

Patient Financial Responsibility Agreement
Patient Financial Responsibility Agreement • January 29th, 2021

In order to avoid unexpected charges, you should reach out to your insurance carrier before you initiate treatment here to familiarize yourself with the limits of your policy, and what it will and will not provide coverage for. We do our best to guide patients through this process, but ultimately it is impossible for us to keep abreast of the requirements and stipulations of the thousands of insurance products on the market. It is an individual patient responsibility to understand the provisions, limits, and requirements of their individual benefit plan(s) and advise us accordingly.

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