Common Contracts
1 similar Office Financial Agreement contracts
Milford Dental Clinic, P. C. Office Financial AgreementOffice Financial Agreement • August 3rd, 2016
Insurance benefits are determined by your employer and not your dentist. Any deductible or estimated co-payment amount will be due at the time of treatment. Insurance is not a guarantee of payment; insurance companies will not pay for all your costs. Your insurance policy is a contract between you and your employer. Your insurance and payments are still your responsibility. As a courtesy, we will be glad to file your claim for you, if you bring all required insurance information. You will be expected to pay for services rendered if the office is unable to verify your insurance information before treatment. If payment for services already rendered has not been paid in full within 45 days, either by you or your insurance company, the remaining balance for treatment is considered due and collectible.
