MISSED APPOINTMENT
AND
CANCELLATION/RESCHEDULE POLICY
Applies to All Patients
Thank you for trusting your medical care with us at New Mexico Clinical Research & Osteoporosis Center, Inc. When you schedule an appointment, we set aside enough time to provide you with the highest quality care. There may be times when you need to cancel or reschedule your appointment. If this is the case, please contact our office as soon as possible, and no later than 24 hours prior to your scheduled appointment. This gives us time to schedule other patients who may be waiting for an appointment. If you need to cancel/reschedule an appointment, we require you notify us at least 24 hours or one business day prior to your scheduled appointment, if less than 24-hour cancellation is given, this will be documented as a “No Show/Missed” appointment.
Please see our Appointment Missed Appointments/Cancellation Policy below:
● First No-Show/Missed Appointment: If you fail to show for a scheduled appointment, cancel or reschedule a scheduled appointment and have not contacted our office with at least 24-hour notice*, this will be documented as a “No Show/Missed” appointment and you will be charged a $25 fee.
● Second No Show/Missed Appointment: Within a one-year period and have not contacted our office with at least 24-hour notice*, this will be documented as a “No Show/Missed” appointment and you will be charged a $50 fee.
● Third No Show/Missed Appointment: Within a one-year period, you may be discharged from New Mexico Clinical Research & Osteoporosis Center. In this instance, you will be notified by letter.
Insurance companies do not reimburse for “No-Show/Missed” appointments. The “No Show/Missed Appointment” fee is charged to you, not the insurance company, and is due at the time of your next visit. Each “No-Show/Missed” appointment will incur an administration fee, for non-Medicaid patients.
As a courtesy, when time allows, we make reminder calls for appointments. If you do not receive a reminder call or message, the above Policy will remain in effect.
We understand there may be times when an unforeseen emergency occurs, and you may not be able to keep your scheduled appointment. If you should experience extenuating circumstances, please call our Front Desk supervisor or our Practice Manager, who may be able to waive the No Show/Cancellation fee. You may contact New Mexico Clinical Research & Osteoporosis Center during regular business hours Monday through Friday at (505)855-5525, option 1. Should it be after regular business hours or a weekend, you will be directed to the answering service to leave a message.
*Exception to the 24-hour notice for “No Show/Missed Appointment” scheduled for a Monday appointment. The office must receive changes to the scheduled appointment the Friday before (72 hours before the scheduled appointment).
Policy updated 4/10/2020
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
If you have any questions about this Notice please contact: the Practice Manager or Research Manager (our Privacy Contacts).
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services.
We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices via internet at www.nmbonecare.com or a revised copy be sent to you in the mail or a copy can be given to you at the time of your next appointment. We will also keep a current copy of this notice in our reception area.
1. Uses and Disclosures of Protected Health Information Acknowledgment of the Privacy Notice
Your protected health information may be used and disclosed by your health care provider, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of the health care provider’s practice.
Following are examples of the types of uses and disclosures of your protected health care information that the health care provider’s office is permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office.
Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. For example, we might use your health information in order to write a prescription for you, or we might disclose your health information to a pharmacy when we order a prescription for you. We will also disclose protected health information to other health care providers who may be treating you. For example, your protected health information may be provided to a health care provider to whom you have been referred to ensure that the health care provider has the necessary information to diagnose or treat you.
In addition, we may disclose your protected health information from time-to-time to another health care provider (e.g., a specialist or laboratory) who, at the request of your health care provider, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your health care provider.
Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as; making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission. We may also disclose your protected health information to obtain payment from third parties that may be responsible for such costs, such as a family member. We may disclose your protected health information to other health care providers and entities to assist in their billing and collection efforts.
Healthcare Operations: We may use or disclose, as-needed, your protected health information in order to support the business activities of your health care provider’s practice. These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, marketing and fundraising activities, and conducting or arranging for other business activities.
For example, we may disclose your protected health information to medical school students that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your health care provider. We may also call you by name in the waiting room when your health care provider is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment. If you are not home, we may leave this information on your answering machine or in a message left with the person answering the phone. We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may also use and disclose your protected health information for our marketing activities. For example, your name and address may be used to send you a newsletter about our practice and the services we offer. We may also send you information about products or services that we believe may be beneficial to you. You may contact our Privacy Contact to request that these materials not be sent to you. We may use or disclose your demographic information and the dates that you received treatment from your health care provider, as necessary, in order to contact you for fundraising activities supported by our office. If you do not want to receive these materials, please contact our Privacy Contact and request that these fundraising materials not be sent to you.
We will share your protected health information with third party “business associates” that perform various activities (e.g., billing, transcription services) for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.
However, we will reasonably limit the amount of information disclosed for such purposes to the minimum necessary, as well as to abide by any reasonable request for confidential communications and any agreed-to restrictions on the use or disclosure of protected health information.
We will share your protected health information with third party “business associates” that perform various activities (e.g., billing, transcription services) for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.
Uses and Disclosures of Protected Health Information Based upon Your Written Authorization
Our practice will obtain your written authorization to uses and disclosures that are not identified by this notice or permitted by applicable law. Any authorization you provide us regarding the use and disclosure of your health information may be revoked at any time. A request to revoke an authorization must be submitted in writing. After you revoke your authorization, we will no longer use or disclose your health information for the reasons described in the authorization. However, if you are a research participant, we may continue to use your protected health information that was obtained prior to the time you revoked your authorization, as necessary to maintain the integrity of the clinical trial/research study. For example, we are permitted to continue use and disclosure of protected health information to account for your withdrawal from the clinical trial/research study, as necessary to incorporate the information as part of a marketing application submitted to the Food and Drug Administration, to conduct investigation of scientific misconduct, or report adverse events. Please note, we are required by law to retain records of your care.
Other Permitted and Required Uses and Disclosures That May Be Made With Your Consent, Authorization or Opportunity to Object
You have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. If you are not present or able to agree or object to the use or disclosure of the protected health information, then your health care provider may, using professional judgment, determine whether the disclosure is in your best interest. In this case, only the protected health information that is relevant to your health care will be disclosed. We may use and disclose your protected health information in the following instances:
Others Involved in Your Healthcare: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person(s) assisting in your care, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.
Emergencies: We may use or disclose your protected health information in an emergency treatment situation. If this happens, your health care provider shall try to obtain your consent as soon as reasonably practicable after the delivery of treatment. If your health care provider or another health care provider in the practice is required by law to treat you and the health care provider has attempted to obtain your consent but is unable to obtain your consent, he or she may still use or disclose your protected health information to treat you.
Communication Barriers: We may use and disclose your protected health information if your health care provider or another health care provider in the practice attempts to obtain consent from you but is unable to do so due to substantial communication barriers and the health care provider determines, using professional judgment, that you intend to consent to use or disclosure under the circumstances.
Research: We will use and disclose protected health information for research with individual authorization, or without individual authorization under limited circumstances. Please ask to speak with our Privacy Contact if you would like to know the limited circumstances permitted by applicable law.
Communications that Involve the Sale of Health Information: We will not sell your information without your prior written authorization. For example, we will not sell your protected information to a third party whose product or service is being marketed.
Other Permitted and Required Uses and Disclosures That May Be Made Without Your Consent, Authorization or Opportunity to Object
We may use or disclose your protected health information in the following situations without your consent or authorization:
Required By Law: We may use or disclose your protected health information to the extent, that law requires the use or disclosure. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures.
Public Health: We may disclose your protected health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. The disclosure will be made for the purpose of controlling disease, injury or disability. We may also disclose your protected health information, if directed by the public health authority, to a foreign government agency that is collaborating with the public health authority.
Communicable Diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.
Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.
Food and Drug Administration: We may disclose your protected health information to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations, track products; to enable product recalls; to make repairs or replacements, or to conduct post marketing surveillance, as required.
Legal Proceedings: We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), in certain conditions in response to a subpoena, discovery request or other lawful process.
Law Enforcement: We may also disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (1) legal processes and otherwise required by law, (2) limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of the practice, and (6) medical emergency (not on the Practice’s premises) and it is likely that a crime has occurred.
Coroners, Funeral Directors, and Organ Donation: We may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law. We may also disclose protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out their duties. We may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaveric organ, eye or tissue donation purposes.
Criminal Activity: Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.
Military Activity and National Security: When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to foreign military authority if you are a member of that foreign military services. We may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.
Workers’ Compensation: Your protected health information may be disclosed by us as authorized to comply with workers’ compensation laws and other similar legally established programs.
Inmates: We may use or disclose your protected health information if you are an inmate of a correctional facility and your health care provider created or received your protected health information in the course of providing care to you.
Change in Ownership: In the event that this medical practice is sold or merged with another organization, your health information/record will become the property of the new owner, although you will maintain the right to request that copies of your health information be transferred to another physician or medical group.
Breach Notification. In the case of a breach of unsecured protected health information, we will notify you as required by law. If you have provided us with a current mailing address, we will notify you in writing when a breach in your protected information occurs. In some circumstances our business associate may provide the notification.
Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500 et. seq.
2. Your Rights
The health and billing records we maintain are the physical property of the office. The information in it, however, belongs to you. Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.
You have the right to inspect and obtain a copy your protected health information
This means you may inspect and obtain a copy of protected health information about you that is contained in a designated record set for as long as we maintain the protected health information. A “designated record set” contains medical and billing records and any other records that your health care provider and the practice use for making decisions about you. You must submit your request in writing in order to inspect and/or obtain a copy of your health information. If you request a copy, our practice may charge a fee for the costs of copying, mailing, labor and supplies associated with your request. Such requests will be honored within 30 days or as required by law, and you will be notified in writing of NMCROC’s receipt of the request and the date upon which the information will be available to you.
Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewable. In some circumstances, you may have a right to have this decision reviewed. Please contact our Privacy Contact if you have questions about access to your medical record.
Please note: The Privacy Rule permits an exception to access of protected health information created or obtained by a covered health care provider/researcher for a clinical trial. Per this exception, your right to access your protected health information will be suspended while the clinical trial is in progress, provided that if you are a research participant in a clinical trial, you agreed to this denial of access when consenting to participate in the clinical trial. In addition, at the conclusion of the clinical trial, your right to access protected health information will be reinstated.
You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may ask us not to disclose information to your insurance company concerning health care items or services for which you paid for in full out-of-pocket, and we will abide by your request, unless we must disclose the information for treatment or legal reasons. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices.
Your health care provider is not required to agree to a restriction that you may request. If health care provider believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. If your health care provider does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. In order to request a restriction in our use or disclosure of your protected health information, you must make your request in writing to the Privacy Contact. Your request must describe in a clear and concise fashion:
(a) The information you wish restricted;
(b) Whether you are requesting to limit our practice’s use, disclosure or both; and
(c) To whom you want the limits to apply.
If, in our sole opinion, your request does not involve information that is required by us to carry out treatment, payment or health care operations, we will accept your request for restrictions and will notify you if your request will be honored within 30 days or as required by law.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. Please make this request in writing to our Privacy Contact. Such request will be honored within 30 days, or as required by law.
You may have the right to have your health care provider amend your protected health information. This means you may request an amendment of protected health information about you in a designated record set for as long as we maintain this information. In certain cases, we may deny your request for an amendment. We may deny your request if you ask us to amend information that is in our opinion: (a) accurate and complete; (b) not part of the health information kept by or for the practice; (c) not part of the health information which you would be permitted to inspect and copy; or (d) not created by our practice. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. To request an amendment, your request must be in writing and submitted to the Privacy Contact. You must provide us with a reason that supports your request for amendment. Our practice will deny your request if you fail to submit your request (and the reason supporting your request) in writing. Upon agreement by your health care provider, request to amend health information will be honored within 30 days or as required by law, and you will be notified in writing of NMCROC’s action taken. Please contact our Privacy Contact to determine if you have questions about amending your medical record..
You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy Practices. It excludes disclosures we may have made to you or made at your request, made pursuant to an authorization signed by you, to a provider involved in your care, to family members or friends involved in your care, or for notification purposes. In order to obtain an accounting of disclosures, you must submit your request in writing to the Privacy Contact at the address listed at the top of this document. Such request will be honored within 30 days or as required by law, and you will be notified in writing of the date on which the accounting will be available to you. All requests for an account of disclosures must state a time period, which may not be longer than six (6) years from the date of the disclosure and may not include dates before April 14, 2003. You may request a shorter timeframe. The right to receive this information is subject to certain exceptions, restrictions and limitations. The first request within a 12-month period is free of charge, but our practice may charge you for additional lists within the same 12-month period. Our practice will notify you of the costs involved with additional requests, and you may withdraw your request before you incur any costs.
NMCROC has also required in our business associate contracts that they offer a means to provide such a listing for you.
You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice electronically.
3. Complaints
You may complain to us or to the Secretary of Health and Human Services (HHS) if you believe your privacy rights have been violated by us.
You may file a complaint with us by notifying our Privacy Contact of your complaint. All complaints must be submitted in writing.
We will not retaliate against you for filing a complaint.
If you are not satisfied with the manner in which our office handles a complaint, you may submit a formal complaint to:
Region IX
Office of Civil Rights
U.S. Department of Health & Human Services
90 7th Street, Suite 4-100
San Francisco, CA, 94103
(415) 437-8310; (415) 437-8311 (TDD)
(415) 437-8329 FAX
OCRMail@hhs.gov
We cannot, and will not, require you to waive the right to file a complaint with the HHS as a condition of receiving treatment from our office and will not retaliate against you for filing a complaint with the HHS.
You may contact our Privacy Contact at (505) 855-5525 for further information about the complaint process.
This notice was published and becomes effective on September 23, 2013.
FINANCIAL and CREDIT POLICY
Simplify Payments with Credit Card on File Program
Health insurance often does not pay the entire cost of medical services. You may be responsible for payment of a copay, deductible, or other non-covered medical expenses. If these amounts are known or can be estimated when you have your appointment, they should be paid at that time by credit card, debit card, check, or cash. However, in some cases these amounts are not known when you are in the office and can only be determined after your insurance company is billed. To make it easier for you to make these kinds of payments, we have a Credit Card on File Program, as explained below.
We will ask you for your credit card information at the time of your visit. This is entered into our payment system and securely stored. Your credit card information is protected by the Payment Card Industry Data Security Standard (PPI-DSS). This is the same system that is used by familiar major corporations where you may already be shopping, including Amazon, Walmart, and Target. We will submit the insurance claim as usual. Once your insurance company has paid the claim and informed us what you owe, we will retrieve the credit card information and process the payment. If you are unable to pay what your insurance does not cover, we may need to reschedule your appointment. Please ask to speak to one of our billing specialists if you would like to make special arrangements.
If you are uncertain about your health plan benefits, call their member services department for more information. If you have any questions about your bill or feel you have been billed incorrectly, please call our billing department at 505.208.6565 or 505.855.5525, option 6, then option1 . We will do our best to correct any mistakes as rapidly as possible. You may also visit our website(s) at NMBONECARE.com or MyProviderLink.com.
Click here for detailed instructions on how to make a payment with MyProviderLink.
Proof of Insurance Coverage is Required
Please bring your insurance identification card(s) with you to every office visit. We make copies of your card(s) each time to assure that your records are accurate and current. Time permitting, we will check on your insurance coverage prior to your appointment; however, verbal communication with your insurance carrier is never a guarantee that they will pay your claim. Prior to your visit, please confirm with your insurance carrier that your insurance coverage is in effect. It is best that you know your policy limits to minimize out-of-pocket expenses.
If you do not have current insurance coverage and your service exceeds $100, we require a minimum payment of $100 at the time of service. We will arrange a payment plan for you on the balance. If you are unable to meet this financial obligation, please call our billing office prior to your appointment to arrange for a payment plan. This will be limited to four (4) consecutive monthly installments, due by the 20th of each month. Failure to make monthly payments or failure to respond to a final statement may result in your account being turned over to a collection agency and the healthcare provider discharging you from further medical care. Should this occur, you will be provided with a 30-day notice. Should your account be turned over to a collection agency, a “collection fee” will be added to the account balance.
Insurance Coverage and Benefits Verification
Your insurance benefits may vary depending on our status as a contracted provider with your insurance carrier. Please be sure to inquire regarding this prior to being seen, as this information can change without notice, and may subject you to additional costs.
As a courtesy and time permitting, we attempt to verify your insurance benefits prior to your visit. However, it is your responsibility to know the limits of your insurance benefits. We suggest that if you are unsure about your coverage, you call your insurance company’s member services department prior to your appointment.
Co-Pays, Coinsurance and Deductibles
You will be responsible to pay your primary insurance co-pay, and any outstanding balance on your account, on the day of your visit prior to being seen by the provider. You will also be responsible for any coinsurance or deductible amounts for that day’s visit. We accept cash, personal checks (no two-party checks), Visa, MasterCard, American Express, and debit cards. There will be a $25 fee if your check is returned by your bank for any reason. This fee may change without notice.
If you cannot meet these obligations, please call our billing office to make arrangements prior to your visit.
Referrals/Doctor’s Order
If your insurance company requires a referral or you are having a procedure that requires a doctor’s order (i.e. bone density testing), you must obtain the referral or doctor’s order from your primary care physician and provide a written verification prior to, or at the time of your appointment. If a referral or a doctor’s order is required and you do not bring one to the appointment, you may (a) be rescheduled to provide you the opportunity to obtain a referral or order, or (b) be asked to sign a release prior to your procedure and pay all charges for the visit at check-out. It is your responsibility to (a) know if a referral is required by your primary insurance carrier, (b) to obtain a doctor’s written order when one is required, and (c) to provide us with the written referral or doctor’s order prior to your scheduled appointment.
If You Can’t Keep Your Appointment
If, for any reason, you are unable to keep your appointment, it is important that you call to cancel no less than 24 hours prior to your scheduled appointment time. This procedure gives us an opportunity to offer an immediate appointment to a patient who needs to be seen urgently. Refer to the No Show/Cancellation Policy outlined above.
Statements
If you have an outstanding balance on your account, per our revised policy, you will receive one statement. You are encouraged to pay the balance in full upon receipt or within ten (10) days to avoid further collection procedures, which may add to the amount you owe.
If regular payments work best for you, please contact our billing office to discuss your options. Failure to make monthly payments as arranged, may result in your account being turned over to a collection agency and the healthcare provider discharging you from further medical care. Should this occur, you will be provided with a 30-day notice. Should your account be turned over to a collection agency, a “processing and collection fee” will be added to the account balance. Failure to make prior arrangements for credit privileges can damage your credit rating and subject you to additional amounts due.
We are not able to grant a discount, waive the co-pay, coinsurance or deductibles for any reason.
If you know you will be unable to meet your financial obligation for scheduled services, please contact our billing office prior to your appointment.
Credit Balances
If for any reason, your account shows a credit balance (an over payment from you or your insurance company); the proper refund will be made in a timely manner.
Please feel free to call our billing office at any time to discuss your account.
REVISIONS TO THIS POLICY
We may revise this Credit Policy without notice. Copies will be available at our reception desk and in our Waiting Room. You may also call our Practice Manager to request that a copy of our Credit Policy be mailed to you.