Common Contracts
1 similar Financial Policies contracts
FINANCIAL AGREEMENT:Financial Policies • February 19th, 2014
The patient is ultimately responsible for payment in full of their account, not the insurance company. We do, however, file dental insurance claims as a courtesy to our patients. We can only make estimates regarding your insurance benefits based on the information provided by you and the insurance company. In the event that your insurance company does not pay as much as expected, the remaining balance is due and payable immediately by you, the patient. INITIALS:
