Common Contracts
1 similar Billing Agreement contracts
Billing AgreementBilling Agreement • January 15th, 2018
Pleasant Pediatrics’ providers and staff want to continue focusing their time and efforts on quality patient care and customer service. Unfortunately, Pleasant Pediatrics has been forced into a new billing policy due to all the recent changes in insurance and the high costs associated with billing. Please read this form in its entirety. Initial where indicated and sign and date the bottom of this form to confirm that you have read and agree to Pleasant Pediatrics’ new billing policy.
