Common Contracts
2 similar Financial Policy Agreement contracts
FINANCIAL POLICY AGREEMENTFinancial Policy Agreement • February 13th, 2019
For Our Patients with Medical Insurance Benefits: Endocrinology of Central Pennsylvania (the “Practice”) participates in most major health plans and has contracts with many HMOs, PPOs, and government insurers including Medicare and Tricare. The Practice’s business office submits claims to your plan for covered services rendered to you as a patient of the Practice and will assist you in any way the Practice reasonably can to help get your claims paid. It is the patient’s responsibility to provide all necessary information as requested by the Practice. If you have a secondary insurance, the Practice will automatically file a claim with them as soon as the primary carrier has paid. Your insurnce company may need you to supply certain information directly. It is your responsibility to comply with their request.
FINANCIAL POLICY AGREEMENTFinancial Policy Agreement • January 25th, 2015
For Our Patients with Medical Insurance Benefits: Endocrinology of Central Pennsylvania (the “Practice”) participates in most major health plans and has contracts with many HMOs, PPOs, and government insurers including Medicare and Tricare. The Practice’s business office submits claims to your plan for covered services rendered to you as a patient of the Practice and will assist you in any way the Practice reasonably can to help get your claims paid. It is the patient’s responsibility to provide all necessary information as requested by the Practice. If you have a secondary insurance, the Practice will automatically file a claim with them as soon as the primary carrier has paid. Your insurnce company may need you to supply certain information directly. It is your responsibility to comply with their request.
