Common Contracts

2 similar Financial Policy Agreement contracts

Financial Policy Agreement
Financial Policy Agreement • July 15th, 2024

Payment for services provided by Phoenix Pointe Psychiatry LLC, hereafter may be referred to as “PPP”, is due at the time that services are rendered. If the patient is covered under insurance, payment of any applicable co-payment, co-insurance, or deductible is due at the time of service. If Phoenix Pointe Psychiatry is not contracted with the insurance, payment for services is due in full at the time that services are rendered through accepted forms of payment by the facility. Insurance will be billed on your behalf and you will be reimbursed any applicable credits. Phoenix Pointe Psychiatry makes every effort to verify your coverage with your insurance, however, you are strongly encouraged to verify your benefits and coverage to ensure you fully understand what is covered. You agree that it is your responsibility to inform the practice of any changes to the insurance plan prior to each of your visits, or you may be responsible for the full fee. Some services may not be covered by hea

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Financial Policy Agreement
Financial Policy Agreement • March 17th, 2024

Payment for services provided by Phoenix Pointe Psychiatry LLC, hereafter may be referred to as “PPP”, is due at the time that services are rendered. If the patient is covered under insurance, payment of any applicable co-payment, co-insurance, or deductible is due at the time of service. If Phoenix Pointe Psychiatry is not contracted with the insurance, payment for services is due in full at the time that services are rendered through accepted forms of payment by the facility. Insurance will be billed on your behalf and you will be reimbursed any applicable credits. Phoenix Pointe Psychiatry makes every effort to verify your coverage with your insurance, however, you are strongly encouraged to verify your benefits and coverage to ensure you fully understand what is covered. You agree that it is your responsibility to inform the practice of any changes to the insurance plan prior to each of your visits, or you may be responsible for the full fee. Some services may not be covered by hea

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