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We would like to thank you for considering us as your health care contributor. Our goal is to be committed and obtainable at all times to answer any questions and lessen your concerns. We are devoted to providing you with the most personalized and the most beneficial quality of care.

Insurance Patients
Prior to your scheduled visit, we will verify your insurance benefits with your insurance company. Please realize that authorization or verification from your insurance carrier (written or verbal) is not a guarantee of payment. We will collect the required prepayment percentage, co-pay and deductible of the estimated charges at the time of treatment, regardless of the assignment of benefits. The balance on your account is your responsibility whether your insurance pays or not. We will bill your insurance company; therefore, we require that you supply us with all appropriate forms and information such as telephone numbers and addresses regarding your insurance company. In the event inaccurate information is obtained, making it impossible to bill the claim, the account will become your responsibility and payable in full within 30 days.

Participating Provider Insurance Companies
We accept most major insurance programs and participate in many local Preferred Provider Organizations. If you would like a list of the insurance programs we are contracted with, let us know and we will get you one.

Non-Participating Provider Insurance Companies
Your insurance policy is a contract between you and your insurance company. We are not a party that contracts. There is not a contractual discount between our doctor and your insurance company. All co-payments, deductibles and any percentages established by your insurance plan are due at the time of service.

Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary in our area. If your insurance company pays below our fee schedule, you are responsible for the balance they will not cover. If you are dissatisfied with the benefits paid by your insurance, you have the right to appeal to your insurance company for additional reimbursement.

Self-pay Patients
Full payment will be expected at the time of service. We accept Visa, MasterCard and checks.

If any of these methods are not convenient for you, Care Credit, an independent credit company, can finance your care on approved credit. It takes just minutes to get approved and can be done in the office. It will allow you to start your treatment today and make payments over time on a plan that best works for you.

Minors
No minor will be seen without parent/legal guardian present and we will bill the insurance on file. If there are any balances due, the person signing the Financial Policy will ultimately be responsible for the balance.

If An Appointment Is Skipped
If you cannot show up for the time you have designated to see the doctor or one of our assistants, please give our office at least 24-hours notice. Failure to do so will result in a $25.00 fee that will be billed to your account.

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