Common use of Office Policy Clause in Contracts

Office Policy. Fees charged to patients are the patient’s responsibility. Payment is due at the time of the appointment unless other financial arrangements have been made in advance with the Whole Family Dentistry office. Our office is not contracted with any dental insurance companies, as a courtesy we will submit your dental insurance claim for you. Any insurance benefits will come to you directly from the insurance company. Any fees for dental care unpaid after 30 days from original billing date will be charged a monthly service fee and may be turned over to collections.

Appears in 2 contracts

Sources: Failed Appointment Cancellation Agreement, Failed Appointment Cancellation Agreement

Office Policy. Fees charged to patients are the patient’s 's responsibility. Payment is due at the time of the appointment appoint- ment unless other financial arrangements have been made in advance with the Whole Family Dentistry office. Our office is not contracted with any dental insurance companies, as a courtesy we will submit your dental insurance claim for you. Any insurance benefits will come to you directly from the insurance company. Any fees for dental care unpaid after 30 days from original billing date will be charged a monthly service fee and may be turned over to collections.

Appears in 1 contract

Sources: Failed/Cancelled Appointment and Financial Agreement