Common Contracts
1 similar Financial Agreement and Assignment of Benefits contracts
FINANCIAL AGREEMENT AND ASSIGNMENT OF BENEFITSFinancial Agreement and Assignment of Benefits • August 30th, 2021
Retina Health Center, P.L. (RHC) are privately-owned medical facilities that provide medical services on a fee-for-service basis. RHC relies solely on insurance reimbursement and patient payment(s) for services rendered in good faith. RHC receives no federal, state or other third-party funding; as such, RHC does not have provision for providing on-going indigent care. The following Financial Agreement is developed in accordance with Office of Inspector General (OIG) guidelines as well as all applicable State and Federal reimbursement guidelines.
