Common Contracts
1 similar Financial Agreement contracts
Financial AgreementFinancial Agreement • August 9th, 2018
Initial Dental insurance is considered an agreement between you and your insurance company; therefore we can only estimate your dental benefits. This estimate is not a guarantee of payment by your insurance company. You are responsible for any charges your insurance company does not pay. Initial Your out of pocket portion and deductibles are due at time of service. Initial Insurance payments not paid after 60 days will become your complete responsibility. You agree to pay your full balance after 60 days from date of service. Initial A minimum of 48 hours’ notice is required for any changes or cancellations to
