Common Contracts

1 similar Payment Agreement contracts

PAYMENT AGREEMENT:
Payment Agreement • November 9th, 2016

We accept most insurance plans as a courtesy. It is your responsibility to understand your coverage and know your carrier’s guidelines for obtaining medical services. Please verify with your insurance that we are in-network for your plan. Please call your insurance if you have questions about what your out-of-pocket responsibilities will be. Our relationship is with you, the patient, not your insurance company. If claims for service provided to you are denied by your insurance company, you will be responsible for payment. For your convenience we accept cash, check, Visa, Master Card, and Care Credit.

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