Common Contracts
1 similar Financial Policies and Signature on File Agreement contracts
Mitchell & Mitchell, D.D.S. /P.A. Financial Policies and Signature on File AgreementFinancial Policies and Signature on File Agreement • November 23rd, 2021
We will collect in full for Individual Insurance Plans through the online exchanges or any COBRA Plan; we will file the dental claim for reimbursement to you directly. Payment is expected in full when services are rendered for non-insured or emergency treatment.
