Payment for all services is due at the time of treatment, unless previous arrangements have been made with office manager.
Patient is responsible for all charges submitted by this office for payment during course of treatment.
Private insurance is a contract between you and your insurance carrier. Insurance claims are submitted as a courtesy to the patient. Patient must pay applicable deductibles, co-payments, charges not covered by insurance, and any service charges accrued as a result of non-payment by insurance.
There will be a minimum charge of $25 to accounts for failed, or cancelled appointments without a 24 hour notice.
Failure to keep this account current may result in suspension of service until account is paid.
A service fee of 1 1/2% (18% APR) will be applied to all accounts over 60 days past due.
In the case of default of payment of account, patient will be responsible for all collection costs, interest rates, and Attorney's fees incurred in attempting to collect this account.