Financial Arrangements
Payment is due at the time that services are received unless other payment arrangements have been made. At this time we accept only cash,
Visa, Mastercard. Discover and checks. If you are not covered by insurance and are unable to pay as you go, the charge for an adjustment is $70.
A discounted charge of $40 will be expected at the time of service. If we bill, we bill $70 and will then establish a payment plan with you that
fits your budget.
Insurance Billing
We are preferred providers for most insurance plans.
As a courtesy, we bill your primary insurance company if provided with all necessary information. We do not bill secondary insurance. We will
do our utmost to provide sufficient information to your insurance company in order to obtain payment for your care. We have found that, in
some instances, insurance companies will deny or reduce payment despite our best efforts to demonstrate the necessity for your care. In the
event that, for any reason, full payment is not made on your behalf, you must understand that you are solely responsible to make payment in
full on the remaining balance.
Communication
It is important to communicate with us about any financial problems as soon as possible. Should the need arise, please contact us
immediately to discuss a mutually-agreeable payment plan so that you will not jeopardize your credit rating.
Health Information Portability & Accountability Act (HIPAA) Compliance
Our policy is to comply with this Act.
We are committed to preserving the privacy of your personal health information. In fact, we are required by law to protect the privacy of your
medical information and to provide you with Notice describing: how medical information about you may be used and disclosed, and how you can access
this information.
We are required by law to have your written consent before we use or disclose to others your medical information for purposes of providing or
arranging for your health care, the payment for or reimbursement of the care that we provide to you, and the related administrative activities
supporting your treatment.
We may be required or permitted by certain laws to use and disclose your medical information for other purposes without your consent or
authorization.
As our patient, you have important rights relating to inspecting and copying your medical information that we maintain, amending or
correcting that information, obtaining an accounting of our disclosures of your medical information, requesting that we communicate with
you confidentially, requesting that we restrict certain uses and disclosures of your health information, and complaining if you think your
rights have been violated.
We have available a detailed Notice of Privacy Practices which fully explains your rights and our obligations under the law. We may revise
our Notice from time to time. The effective date at the top right hand side of our Notice of Privacy Practices indicates the date of the
most current Notice in effect.
You have the right to receive a copy of our most current Notice in effect. If you have not yet reserved a copy of our current Notice,
please ask at the front desk and we will provide you with a copy.
If you have any questions, concerns or complaints about the Notice or your medical information, please contact Dr. Caldwell at the office
by calling (303) 274-4434.
|