Financial Policy

FINANCIAL/APPOINTMENT POLICY

Our goal is to provide you with the best possible dental are for your wants and needs. All fees are disclosed to you before treatment is performed. Payment is due at the time services are rendered. We accept cash, checks, Visa/Mastercard and Discover. We can help you arrange financing through Carecredit. There is a $25.00 fee for any returned check. If you have dental insurance we will be happy to file your insurance claims for reimbursement and thus help you to receive your maximum allowable benefits.

Please note: Your insurance is a contract between you and your insurance company.

If you have insurance, please inform the office prior to being treated. This will allow plenty of time to get benefit information. Your insurance provider can also answer your questions you may have regarding coverage.

While the filing of claims is a courtesy we extend to our patients, all fees are your responsibility from the date services are rendered. If for any reason your insurance provider decides to deny benefits it will be your responsibility to pay for the outstanding balance. We allow 45 days from the date of submission for reimbursement. If payment is not received within the stated time frame, a statement will be sent directly to you for payment. All estimated co-pays are due at the time services are rendered.

We strive to make sure all scheduled patients are seen on a timely basis. All appointments are scheduled exclusively to fit your individual needs. Out of respect for our office and other patients, it is requested you give advance notice of cancellation. Please keep in mind a broken appointment could have been utilized by another patient in need of care.

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED, DISCLOSED AND HOW YOU CAN GET ACCESS TO T HIS INFORMATION.

ACKNOWLEDGE OF RECEIPT:

I acknowledge that I have read and/or received a copy of The Dentists at Greenway Notice of Privacy Practices, General Consent Form for Treatment, and The Financial/ Appointment Policy.

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