It is our office policy that all past due accounts be sent a minimum of 4 statements. If there has been no communication with our office regarding your past due account(s), payment arrangement has not been set up, and/or arrangement kept, and/or if no resolution can be made, the account will be sent to the collection agency or attorney, and possible discharge from the practice. In the event an account is turned over for collections, the person financially responsible for the account will be responsible for all collections costs including attorney fees and court costs. Any appointments after an account has been placed in collections will be set to ‘Self-Pay’ until good credit status has been maintained. As a courtesy, we will submit your claim to the insurance provided.
Past Due Accounts
These policies help the office provide quality care to our valued patients.
If you have any questions or need clarification of any of the above policies, please feel free to contact us.
I agree to abide by the policies of the office and understand that if I do not, I may be asked to seek care elsewhere.
Acknowledgement Signature Required on Demographic Form.
East Lincoln Family Health Professionals, PC. RESERVES THE RIGHT TO CHANGE AND/OR MODIFY THE INFORMATION ON THIS SITE AT ANY TIME.