Financial Policy / Information
Southwest Oral & Implant Surgery is committed to obtaining the best result for your investment and to providing you with the best possible care. As a courtesy to you, we will assist you in maximizing your insurance benefits. Because insurance policies vary greatly, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. It is the policy of this office to make definite financial arrangements with you before any treatment is done.
Below is an explanation of our payment procedures. If you have any questions, our staff is always available to answer them.
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Payment for all services is due at the time services are performed. We accept cash, check, all major credit cards, and we may accept assignment of your insurance benefits. We also accept bank debit cards, Care Credit and Citi Health.
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If surgical services are paid for in full on the day of service, a 5% discount will be given if you pay by cash or check. A personal check may be processed as an electronic fund transfer on the day of service and the 5% discount will apply. The discount will not be given for credit card payments nor will the discount be given when an insurance assignment or discount plan is used as partial payment of surgical services.
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If insurance benefits are assigned to Southwest Implant & Oral
Surgery, you will be responsible for paying your estimated portion at
the time of service. You are responsible for paying all charges not
covered by your insurance company, including all fees considered above
your insurance company's usual and customary fee schedule. Your
insurance benefits are a contract between you and your employer. The
amount of coverage you will receive will depend on the quality of the
plan purchased by your employer, not the fees of the doctor.
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Our office will assist you in obtaining the maximum allowable benefits
from your insurance carrier. If your insurance carrier does not pay the
claim within 60 days, you will be responsible for the full balance and
further insurance appeal becomes your responsibility. Southwest Oral
& Implant Surgery cannot carry balances longer than 90 days,
regardless if the insurance payment is still pending. A finance charge
of 1.5% per month will be applied to your account on any unpaid balance
due after ninety days whether it is your portion or a portion that you
feel your insurance company should pay.
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Please note that most insurance companies will respond within four to six weeks. Please contact our office if your statement does not reflect your insurance payment within that time frame.
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After 90 days, we will inform you of your delinquent account by
statement and if no action is taken to clear your account, your account
will be sent to a collection agency or credit bureau. Should Southwest
Implant & Oral Surgery be required to employ an attorney or credit
bureau to collect delinquent payments, the responsible party agrees to
pay the office cost of $75, plus all reasonable, related fees.
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There will be a $30 service charge for all returned checks.
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The parent or guardian who brings the child for their initial visit is
responsible for payment independent of what a divorce decree may state.
Reimbursement must be made between the divorced parties. We will not
intervene.
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If there is a dispute over what your insurance company has not paid, we
will be happy to provide you with necessary documentation for you to
pursue an appeal or for you to follow up with your insurance carrier.
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If you find it necessary to reschedule your surgery, please contact us 24 hours in advance, otherwise a $100 cancellation fee will be charged and a deposit may be required before any further appointments are made. No shows and failure to follow the doctor's orders which results in the cancellation of surgery including eating or drinking after midnight (if prohibited), failing to discontinue blood thinners, failing to take medication as instructed, etc., will also be subject to the same charge.
Please contact our office if you have any questions.