Common Contracts
1 similar Patient Responsibility Agreement contracts
Patient Responsibility AgreementPatient Responsibility Agreement • September 7th, 2018
We bill all insurance payers although we may not be contracted with all insurance companies. If we are a network provider for your insurance company, they will pay for our services at the negotiated rate and we will apply the appropriate payments and adjustments to your account. It is your responsibility to pay deductibles, copayments or coinsurances. All out of network charges will be negotiated as discussed per this agreement.
