We would like to thank you for choosing New Health Pain Treatment Center (NHPTC) as your healthcare provider. NHPTC is committed to providing you with the best possible care. We are sure you understand that payment for this healthcare is your responsibility. The following information outlines your financial responsibilities related to payment for professional and behavioral health services. No one is denied services because of the inability to pay.
Payment is expected at time of service. For your convenience we accept cash, checks or the following credit cards: Visa, MasterCard, American Express and Discover.
For Our Patients with Medical Insurance: Please bring your insurance card with you at the time of your appointment and it is the patient’s responsibility to provide all necessary information before leaving the office.
NHPTC will submit claims for any services rendered to a patient for the insurance plan that we participate with to get your claims paid. If you have a secondary insurance we will automatically file a claim with them as soon as the primary carrier has paid. Your insurance company may need you to supply certain information directly and it is your responsibility to comply with their request.
If you are insured by a plan we do business with but don't have an insurance card with you, payment in full for each visit is required until we can verify your coverage.
If a patient is a member of an insurance plan with which we do not participate, payment in full is due at the time of service.
Additionally, you may have coinsurance and/or deductible amounts required by your insurance carrier. Any outstanding balance on your account, after adjusting for all of your insurance's responsibilities, will be billed to you.
Medical services that are considered by your insurance company to be non-covered, out of network, or not medically necessary will be your responsibility.
If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.
Payment Plan: Please let us know if you are having difficulty paying your account. We may be able to help you by setting up a payment plan based on your financial hardship, call (720) 274-0341.
Returned Checks: If your check is returned to us for either insufficient fund, you will be assessed a $25.00 fee on top of your copay or balance due. Personal checks will no longer be accepted by you for payment.
Account Balances: Monthly statements will be mailed to you for outstanding balances on your account.
Collections and Bad Debt: If you are repeatedly delinquent on either account balance, your bad debt will be sent to a collection agency.
Assignment of Benefits: I request payment of insurance benefits to NHPTC. I understand that I am financially responsible for all copays and charges not covered by insurance. I hereby authorize the release of any medical information necessary to process all claims.
Cancellation and No-Show Appointments: We understand that situations arise in which you must cancel your appointment. It is therefore requested that if you must cancel your appointment you provide more than 24 hours’ notice. This will enable for another person who is waiting for an appointment to be scheduled in that appointment slot. With cancellations made less than 24 hours’ notice, we are unable to offer that slot to other people. Office appointments which are cancelled, rescheduled and/or no show with less than 24 hours’ notification will be subject to a $50.00 cancellation fee. Due to contractual obligations with Medicare and Health First Colorado (Medicaid) the $50 fee does not apply.
If you arrive more than 15 minutes past your scheduled appointment time we may have to reschedule your appointment and you will be charged a $50 reschedule fee.
NHPTC firmly believes that good physician/patient relationship is based upon understanding and good communication. Questions about cancellation and no-show fees should be directed to the Billing Department (720) 274-0341.
I have read the Financial Policy and I understand and agree with this Financial Policy.