Specialists Financial Agreement Sample Contracts

NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS FINANCIAL AGREEMENT
Specialists Financial Agreement • November 2nd, 2020

We are committed to provide you with the best possible care. Payment for services rendered to uninsured patients is due at the time services are rendered. If you have medical insurance, we will help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and understanding of our payment policy. You must realize that your insurance is a contract between you, your employer and the insurance company. We are NOT a party to that contract. We emphasize that, as medical care providers, our relationship is with you, not your insurance company.

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