Patients with Insurance Clause Samples
The "Patients with Insurance" clause outlines the responsibilities and procedures for patients who possess health insurance coverage. It typically specifies how insured patients must provide proof of insurance, the process for billing insurance providers, and any obligations regarding co-payments or deductibles. By clearly defining these requirements, the clause ensures that both the healthcare provider and the patient understand their roles in the payment process, reducing confusion and facilitating efficient claims handling.
Patients with Insurance. Estimated portion not covered by insurance due at the time of service.
Patients with Insurance. NEW PATIENT-PAY IN FULL DAY OF SERVICE (EXCEPT FOR CLEANING APPOINTMENTS). *CURRENT PATIENTS PAY 30-50% DAY OF SERVICE (EXCEPT FOR CLEANING APPOINTMENTS). *BALANCES ARE REQUIRED TO BE PAID IN FULL WITHIN 60 DAYS OF SERVICE REGARDLESS OF INSURANCE COVERAGE. *WE SUBMIT CLAIMS ONLY AS A COURTESY FOR YOU. IT IS YOUR RESPONSIBILITY TO FOLLOW UP ON ALL UNPAID CLAIMS. *PRE-ESTIMATES ARE NOT A GUARANTEE OF BENEFITS.
Patients with Insurance. As previously stated, we will file your dental insurance claims for you, and we accept assignment of benefits for insurance plans we are in network with. You are responsible for paying any expected copayments or out of pocket expenses at the time of service. If your insurance does not pay within 30 days, it is your responsibility to pay the balance due within two weeks. We will mail monthly statements to all patients with an outstanding balance charge of 18% per annum after 45 days. Whenever possible, we provide an estimate of fees for needed treatment and payment is expected at each visit for services rendered. Please note, for procedures requiring more than one hour of chair time, more than one appointment, we ask that payment be paid in full at the start of treatment or half of the expected copayment be paid at the first scheduled appointment with the remainder of the copayment due at the next scheduled appointment unless other arrangements have been made.
Patients with Insurance. As previously stated, we will file your dental insurance claims for you, and we accept assignment of benefits for insurance plans we are in network with. You are responsible for paying any expected copayments or out of pocket expenses at the time of service. If your insurance does not pay within 30 days, it is your responsibility to pay the balance due within two weeks. We will mail monthly statements to all patients with an outstanding balance charge of 18% per annum after 45 days.
Patients with Insurance. The PATIENT is responsible for the ESTIMATED non-covered portion of procedures and/or deductibles at the time of the service. If the insurance company does not pay after 60 days, we will bill you directly for the full balance.
Patients with Insurance. At the time of surgery, patients are requested to make an initial payment toward the estimated charges. If there is a credit balance on your account after treatment is completed and insurance payment has been received, you will be refunded.
Patients with Insurance. When providing you services, we work with many insurance companies and always try to maximize your coverage by meticulously detailing our procedures in our interactions with insurers. However, you should understand that insurance does not necessarily pay for all dental care. The treatments and services we provide to our patients are never based on what your insurance company will pay. We provide services that we believe are necessary for your dental and related medical care and needs. As a result, it is very possible that your insurance company will have some form of limit and that insurance will not fully pay the costs of the services we provide. Because insurance is a contract between the insurance company and the patient, not between our office and the insurance provider, you agree that you, our patient, bear the ultimate financial responsibility for payment for the services we provide. For amounts not covered by insurance, you are required to pay your portion of the ▇▇▇▇ at the time of treatment. You should understand that we can only estimate the amount not covered by insurance. The actual amount which you owe might be more than our estimate. We will send you a final invoice for the cost of services not covered by insurance in those cases. If the amount is lower, we will issue you a refund. If needed, we will work with you to provide a method of payment that works for both of us with regard to those payments not covered by insurance for which you remain financially responsible. For your convenience, in addition to personal checks, we accept most major credit cards.