Billing Policy - Developmental Diagnostics

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Developmental Diagnostics Billing Policy
I.
PAYMENT FOR SERVICES: You are responsible for
your charges. Monthly statements are sent to keep
you informed about your account; please pay your
portion upon receipt. You can choose from these
payment options available: Self-Pay or Insurance.
Each of these options has advantages which may suit
your needs.
Precertification: Some insurances require treatment
plans or contact from your neuropsychologist to precertify evaluations. We will verify if this is needed for
your insurance and notify you of this if applicable.
NOTE: If you are unable to complete your therapy
due to financial hardship, you can discuss these
concerns with our office. It may be possible to work
out a payment plan that is more suitable to your
financial situation without jeopardizing the financial
operation of the clinic.
Advantages and Policies of each option
SELF-PAY Accounts
Cash*Check*Credit Card
ADVANTAGES: A. Protects your privacy by avoiding
insurance industry access to information concerning
your treatment. B. Frees your neuropsychologist to
pursue an evaluation without restrictions or delays
due to policies of your health plan.
POLICIES: Clients who pay for appointments at the
time of service and are not using insurance will be
given a 10% discount. A Payment plan can also be
arranged, please discuss this option with the office.
CREDIT CARD
Upon receipt of statement, mail in credit card
information with payment stub or call in information
and we will mail you a receipt upon request.
II. CHECK-IN PROCEDURE: When you arrive at the
office for an appointment, please check in at the
reception window. This is the time for you to make
any payments.
III. CANCELLATIONS & NO SHOWS: A 24 hour notice
must be given or $75.00 may be charged (insurance
will NOT pay for this). Additionally, failed
appointments may jeopardize continued service at
Developmental Diagnostics. Any request for
exception to a failed appointment charge needs to
be sent in writing to the office.
IV. DELINQUENT ACCOUNTS: The following apply to
past due accounts:
1.
INSURANCE ACCOUNTS
In most cases we will be able to bill your insurance
company directly. However, this is a service we
provide for you and it carries no guarantee of third
party coverage. You always remain responsible for
your bill.
2.
ADVANTAGES: Overall costs may be reduced to
copayments/coinsurance and deductible amounts.
Policies: Most insurance does not cover 100%; therefore,
a co-payment or coinsurance is due from you on the Date
of Service (DOS). If you elect to have us bill your
insurance company, you will have 90 days from the DOS
to pay the balance in full, regardless of whether or not
your insurance company has responded (most insurance
companies reimburse within 60 days of billing).
Insurance requires a medical diagnosis and, if so, you will
be responsible for charges. Note: Most testing is not
insurance reimbursable. Check with our office for
clarification.
V.
Interest Rate: A monthly 1.5% interest rate
will be applied to the balance of all accounts
following a 90-day grace period. Finance
charges are the responsibility of the client.
Maximum Balance: (For Therapy Clients Only)
A client can maintain no more than a $500.00
balance without jeopardizing the use of clinic
services. We reserve the right to terminate
services with a client who is failing to maintain
his/her financial responsibility. Exception can
be made for clients who have communicated
with the office and have established an
alternative payment plan.
ACCEPTANCE OF CLINIC POLICIES: You have
received the Developmental Diagnostic Billing Policy
and it is understood that you are responsible for the
account and agree to abide by the terms of said
policy.
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