Common Contracts

1 similar Payment Agreement contracts

PAYMENT AGREEMENT:
Payment Agreement • October 29th, 2015

We accept most insurance plans as a courtesy. We encourage you to familiarize yourself with your individual plan. Insurance coverage is an agreement between patient and insurance company for the payment of medical services. It is your responsibility to understand your coverage and know your carrier’s guidelines for obtaining medical services. If your insurance does not pay as you had expected, please call their customer service center for a detailed explanation as we are unable to guarantee your insurance benefits. Our relationship is with you, the patient, not your insurance company. If claims for service provided to you are denied by your insurance company, or Medicare, you will be responsible for payment. For your convenience we accept cash, check, Visa, Master Card, and Care Credit.

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