Financial Polices
PAYMENTS It is the policy of this office to collect full payment, deductibles and co-payments at the time of service.
Physician and facility charges will be billed to you unless insurance information is provided to our office before the time of service.
PAYMENTS FOR PROCEDURES If you are scheduled to have a procedure(s), our billing office can provide you with the best estimate of charges, however, due to the nature of and until the procedure(s) are performed, it is not possible to quote the exact amount. Our billing office will call your insurance company to obtain authorization, if required, and an estimate of the portion that is your financial responsibility. Pre-authorization is not a guarantee of payment.
INSURANCE You are responsible to contact your insurance prior to services to determine if an authorization is requested. Failure to obtain authorization will result in you being responsible for the services provided. As a courtesy to our patients, we will bill your primary and secondary insurance carriers. We do not guarantee that your insurance will cover our services. It is your responsibility to keep our office updated with your most current insurance information and to verify that you have coverage for services provided by our office. We are contracted providers for most insurance carriers. We recommend that you verify this information prior to being seen in our office.
An itemized statement will be sent to you after your insurance has processed your claim for services. If your insurance has not processed your claim within 45 days, we reserve the right to bill you for the full balance.
WHAT ARE MY OPTIONS IF I DO NOT HAVE INSURANCE Full payment is due at time of service. If you do not have insurance and cannot pay your balance in full, a patient account representative is available to discuss payment options and/or assist you with a payment plan. You can reach a representative as 831-375-3577, Option #5.
RETURNED CHECKS POLICY / NON-PAYMENT OF SERVICES Checks returned to our office for insufficient funds are subject to a $25 service charge. Every effort will be made to work with our patients on an affordable and reasonable payment plan; however, we reserve the right to send an account with a balance over 90 days old to an outside collection agency. If it becomes necessary to send an account to collection, the patient may be discharged from the practice.
CANCELLATION AND MISSED APPOINTMENT POLICY "No-Shows" and "Late Cancellations" cause problems that go beyond a financial impact on our practice. When an appointment is missed, that available time is lost for another patient.
Office Visits: $100 fee will be charged for each no-show or late cancellation, if notice is given less than 24 business hours
Procedures: $500 fee will be charged for each no-show or late cancellation, if notice is given less than 5 business days
Business hours are: Monday- Friday, between 8:30 am and 5:00 pm, except holidays.