Common Contracts
1 similar Financial Responsibility Agreement contracts
Patient Financial Responsibility AgreementFinancial Responsibility Agreement • August 3rd, 2020
It is in your best interest, as a patient, to know and understand your insurance plan benefits and your responsibility for any deductibles, co-insurance, or co-payment amounts prior to any visit. Not all services are covered in all insurance contracts. In addition, you should be sure that your physician is listed as a participating provider by your insurance company. If your insurance plan does not cover a service or procedure, you are responsible for payment of these charges.
