Common Contracts
1 similar Insurance and Payment Agreement contracts
ALIGN SPINE HEALTH CENTER, LLC 8555 16TH STREET, SUITE 800 SILVER SPRING, MD 20910Insurance and Payment Agreement • April 16th, 2014
The doctor’s service is provided directly to you and not to Insurance Company. However, as a courtesy to our patients, we bill your insurance company for you. If your insurance company does not respond with payment within 45 days of claim submission we will expect you to pay the balance of your bill in full. If you present a card that is not your insurance coverage or that the coverage is not in effect at the time if service it will be considered fraud and it is punishable by law.
