MEDICAL SERVICES CONTRACTMedical Services Contract • January 21st, 2008
Contract Type FiledJanuary 21st, 2008If the physician determines that I need a medical supply such as medication, a brace or appliance to treat my problem, I understand that I have the option to obtain it from Health West, P.C. or from an outside supplier. If I choose to obtain the supply from Health West, P.C., a claim will be filed with my insurance company on my behalf. If an insurance payment is not received within 30 days, I understand that I will be responsible for payment in full immediately.