WELCOME TO OUR PRACTICE. AS YOU MAY KNOW, HEALTHCARE IS BECOMING MORE COMPLICATED EVERY DAY. WE WOULD LIKE TO TAKE THIS OPPORTUNITY TO ADVISE YOU OF YOUR PATIENT RESPONSIBILITIES. WHILE MANY PATIENTS DO NOT UNDERSTAND THE BILLING OF INSURANCE, AND THE PROCESSING OF CLAIMS IS A COURTESY THAT WE EXTEND TO OUR PATIENTS.

THIS OFFICE WILL ATTEMPT TO VERIFY YOUR BENEFITS ON EACH VISIT. IT IS OUR GOAL TO PROVIDE YOU WITH THE MOST ACCURATE INFORMATION IN REGARD TO: AUTHORIZATIONS, DEDUCTIBLES, COPAYS AND CO-INSURANCE RESPONSIBILITIES.

PATIENT RESPONSIBILITIES ARE DUE AT THE TIME OF SERVICE.

PLEASE BE ADVISED YOU WILL RECEIVE A STATEMENT FROM THIS OFFICE SO LONG AS THERE IS A BALANCE ON YOUR ACCOUNT. IF YOUR ACCOUNT BALANCE FALLS IN THE 60 DAY OR OLDER CATEGORY, NOTED AT THE BOTTOM OF YOUR STATEMENT, PLEASE CONTACT OUR BILLING OFFICE AT 732-4491.

A STATEMENT IS NOT ALWAYS A DEMAND FOR PATIENT PAYMENT.

THANK YOU FOR YOUR COOPERATION. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND OUR OFFICE POLICIES.