Common Contracts

1 similar Financial Policy Agreement contracts

FINANCIAL POLICY AGREEMENT
Financial Policy Agreement • April 27th, 2021

INSURANCE BILLING: Please make sure to provide us with your current healthcare insurance policy information and healthcare insurance card. If you have more than one insurance company, please provide information on all policies and advise us which payer is primary. We will bill primary and secondary insurance companies, and you will receive statement for any remaining balance after we receive payment from your insurance.

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