Methods of Payment:
Cash • Cashier’s Check • Money Order • Care Credit Finance • Chase Health • Advance Finance • Discover Visa • MasterCard • American Express • ATM • Personal Checks
Payment:
- BUSINESS OR CREDIT CARD CHECKS ARE NOT ACCEPTED
- Full payment is due at time of service.
- The individual paying for the services rendered must be present in our office at the time of payment.
- Returned check fee $35.
- Cross Check (Check Center) is used to process all personal checks.
Social Security:
Every patient, or legal guardian for minors, MUST provide us with their Social Security number if we are filing to insurance for you. If not, we will collect in full for all services and, if requested, a claim may be filed on your behalf for insurance reimbursement.
Insurance:
- You must provide us with your most recent insurance information.
- All services rendered are subject to review until paid by insurance and therefore the amount we collect for your co-pay is only an ESTIMATE. Once the claims are paid adjustments will be made.
- If requested, we can submit a predetermination of benefits to your insurance; this can delay surgery for 4-8 weeks and is still not a guarantee of payment.
- We do not file to secondary insurance but will provide you any documentation needed for you to file.
- The patient, or legal guardian for minors, is responsible for all amounts not covered by the insurance.
- If after 90 days there is still a balance on the account, the patient or legal guardian is responsible for the balance, all rebilling charges, interest charges, collection costs and attorney fees.
Cancellation Policy:
If you do not provide at least 24 hours notice when canceling or rescheduling a surgery appointment, you must pre-pay your co-pay prior to making another appointment.
Our fees will be honored for one year from the date of the
consultation.
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