Payment
Payments are due at the time of service. This includes, self-pay, co-pays, deductibles, noncovered
and out-of-network services.
We accept VISA, MASTERCARD, cash or checks. Positive ID is requires for all credit card or check
payments. There is a $25 fee for all returned checks.
Patients that pay in full at the time of service will receive a 25% discount. You may then file a claim
directly with your insurance company.
Insurance
It is your resbonsibility to ascertain that your medical provider is a participating provider with your
insurance company.
If we are not int the network with your insurance company, you are responsible for filing the claim
with your insurance company, and payment is due at the time of service.
A current insurance card and positive identification is required at each visit.
Failure to provide the required information will result in forfeiture of the scheduled appointment unless
cash or credit card payment can be made for the total charges of the visit.
You are responsible for verifying your insurance benefits and coverage prior to any visits so that you are not billed for
unanticipated charges. Some insurance companies do not cover some routine and non-routine services.
Non-covered services will be billed directly to the patient. (Common exclusions: Well Visits, Immunizations,
particularly Prevnar, Influenza and Hepatitis A; Hearing Screens; Vision Screens; and After-Hour Phone
Calls.
All outstanding balances that have not been paid within 60 days will be billed to the patient and must
be paid by 90 days from the date of service regardless of the insurance status.
Unpaid patient balances older than 90 days will be turned over to our collection agency.
Appointments
We attempt to make reminder calls for well visits, but it is ultimately your responsibility to remember
appointments. Cancellations require 24-hour prior notice.
Cancellations with less than 24-hour notice and missed appointments will be assessed a $25 fee.
We schedule well checks at least one month ahead.
After Hours Phone Calls
Monday - Friday after 4:30pm, weekends and holidays
There is a $25 charge for after-hour doctor consultations and a $15 charge for nurse calls provided by
the Seton Call Center. We will bill you for this charge which you may then file with your
insurance company. After-hours calls might or might not be covered under your policy.
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