Financial Policy for Physician's Office 2025

1. Click ‘Get Form’ to open the Financial Policy for Physician's Office in our editor.
2. Begin by reviewing the Insurance section. Ensure you have your current insurance card ready, as payment in full is required until coverage is verified.
3. In the Co-payments and Deductibles section, fill in your preferred method of payment from the list provided. Remember, all co-payments are due at the time of service.
4. For Non-Covered Services, acknowledge that some services may not be covered by your insurance. You will need to pay for these services upfront.
5. Complete the Proof of Insurance section by uploading a copy of your valid insurance card directly into our platform.
6. In Claims Submission, understand that while we will assist with claims, any balance remains your responsibility if not paid by your insurer.
7. Notify us of any Coverage Changes promptly to ensure you receive maximum benefits. Fill in the number of days for claims processing as required.
8. Finally, review the Non-Payment policy and sign at the bottom to confirm you understand and agree to abide by these guidelines.

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