Insurance is a contract between you and your insurance company. In most cases, we are NOT a party of this contract. We will bill your primary insurance company as a courtesy to you. In order to properly bill your insurance, we require that you disclose all insurance information including primary and secondary insurance, as well as, any change of insurance information. Failure to provide complete insurance information may result in patient responsibility for the services. Although we may estimate what your insurance company may pay, it is the insurance that makes the final determination of your eligibility and benefits. If we are Out-of-Network with your insurance, you agree to pay any portion of the charges not covered by insurance, including but not limited to those charges above the usual and customary allowance. If we are Out-of-Network for your insurance, and your insurance pays you directly, you are responsible for payment and agree to forward the payment to us promptly.