Billing and Policy AgreementBilling and Policy Agreement • September 14th, 2022
Contract Type FiledSeptember 14th, 2022If I selected the option to “Save this payment method for future use?”, then this action hereby authorizes Friday Health Plans or its designee to securely retain my credit/credit card or bank account information on file. I authorize Friday Health Plans to initiate appropriate payment transactions against the above-referenced credit/debit card or bank account, as applicable. I acknowledge that the initiation of all such transactions to make payments on the amount listed above must comply with the provisions of U.S. law and any applicable state laws. I understand and agree that my saved bank account or credit/debit card, may be used by me periodically to pay amounts owed by me for the insurance coverage(s) listed. I also agree to notify Friday Health Plans, if my credit/debit card or bank account information changes for any reason, and that I can authorize this change through this same process. This authorization shall remain in effect until I take action to change it through my member p