MiBella Wellness Center has implemented a new credit card policy to allow smooth transactions and billing for your visits. It Is our policy to collect all co-payments/coinsurance and balance amounts at the time of service. Additionally, we require a credit or debit card from you for any future balance you may be responsible for from your visit(s). A statement will be sent to you via email and text around the 1st and the 15th of each month. At least (15) calendar days before your credit card is charged (if applicable), you will receive an email notification informing you of the balance that is your responsibility to pay. Should you have any questions regarding the balance due, please contact your insurance company. You may also contact our Billing Department for further clarification. AFTER FIFTEEN (15) CALENDAR DAYS, YOU WILL BE CHARGED THE REMAINING BALANCE ON YOUR ACCOUNT.
Please provide the front desk staff with your photo ID, your insurance card, and your method of payment. Your information will be on file and kept secure while you are an active patient or until we have been informed by you that you have transferred your care to a new provider. We only have visibility to the encrypted token and the authorization per this agreement form with you.
We obtain the right to charge your card for all charges incurred for any services rendered that were not covered by your insurance company, for no-show appointment fees, and for late cancellation/arrival fees. Such action will only be processed if you fail to comply with our office patient policies and requirements. Upon your request, a receipt may be provided, in-person or by e-mail after any charge has been made to your provided payment method.
No-Show/Cancellation/Late arrival fees are charged on the same day. Please reschedule/cancel appointments within 48 business hours. Office hours are Monday - Thursday from 8:30 am - 4:00 pm.