Common Contracts

1 similar Insurance Policy Agreement contracts

INSURANCE POLICY AGREEMENT
Insurance Policy Agreement • February 18th, 2019

Thank you for choosing Smile Center Orthodontics, the office of Dr. Renata Regalado, for your orthodontics needs. Please note that insurance estimate is not a guarantee of payment; we attempt to verify your insurance coverage as a courtesy to you, and we make estimation of your expected cost based on this information. Sometimes insurance estimates are not accurate (for example, without limitation, sometimes insurance cannot be verified in advance, information provided may be incorrect, or an insurance carrier may later refuse to honor your insurance claim). We are not responsible for your insurance company’s failure to pay the claim, and you are ultimately responsible for all charges that are not paid by your insurance, whether or not you expected that they would be covered, and whether or not such expectation resulted from information you received from us.

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