Common Contracts

1 similar Patient Payment Agreement contracts

Patient Payment Agreement
Patient Payment Agreement • July 29th, 2020

Please note: The Benefit Plan/Insurance Contract is between you (the patient) and the Benefit Plan issuer or the Insurance Carrier. As a courtesy to our patients we will bill insurance when we are given the necessary information. It is your responsibility to know what your insurance will pay, and to know if prior- authorization is required, for Physical and Occupational Therapy services with our staff.

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