Common Contracts
1 similar Financial Agreement contracts
Financial AgreementFinancial Agreement • July 28th, 2015
This office will strive to bill your insurance in a timely and professional manner. We will check your benefits and eligibility with your insurance if requested by you. We will help with appeals and re-billings to obtain the highest benefits for you if possible. If you are experiencing a financial hardship, please feel free to speak with our office regarding payment arrangements. However, you do have the responsibilities listed below. Please read carefully and sign where indicated.
