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Materials Request

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Submitted By deloris723
Words 1097
Pages 5
Part A
This policy was written for a small medical facility or single physician’s office.
Our objective is to provide you, the patient with an easy to understand policy that explains our billing process. In the medical field the basics of a successful financial policy is having an understanding between the patient, the physician and the insurance company. A policy that is easy to read, comprehend, and fill out makes office visit start smoothly. The key to this kind of policy is communication. Make sure that the patient understands the medical physician’s policy. In the health care field effective communication is the vital role in the way a healthcare provider provides patient care. It also has a direct role in the way the patient receives care and the way the physician complies with the standards and regulations set forth by HIPAA and the state.
Emergency. In the event that there is a medical emergency, the patient may call the office after hours and receive assistance from the answering service. If necessary a physician can be reached to return the patients phone call immediately.
Missed Appointments . In the event that an appointment cannot be kept, this medical office requests at least a 24 hour notice of cancellation. These fees are not covered by the insurance company. If the appointment is cancelled without proper notice a fee of $25 may apply. If the appoint needs to be cancelled please call during business hours. Please do not call after hours or leave a message because these messages may not be received until the next business day.
Co-payments. It is the policy of this office to collect co-payments, deductibles and past due balances before additional services can be rendered. This medical facility will file a claim to the insurance company on your behalf but ultimately it is the responsibility of the patient to make sure the services rendered

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