Brian Coates, D.D.S.,
PA financial policy Thank you for choosing our office for your dental needs. Obtaining dental treatment is very important for your overall health, but using dental insurance can be confusing. Our financial policies are designed to help patients maximize their insurance plan benefits, and make filing claims easy. 1. Payment is due on the day of treatment. If we accept assignment of insurance payment, the amount not covered by your insurance is due the day of treatment (your portion will be estimated). Total payment is due for first visits. You may find it more convenient to pay in full at the time of treatment, and we will direct your insurance company to pay you. 2. This office will file insurance claims for you. We are happy to help you by submitting insurance claims without charge. However, our office does not guarantee payment or coverage by your insurance company. Dental insurance usually pays only a portion of your charges and we urge you to be fully aware of the provisions of your dental plan's policy. You are responsible for your estimated portion at the time of service. A late charge will be added to your account on any unpaid balance 60 days from the date of treatment on all unpaid balances including outstanding amounts to be paid by your insurance company(s). We will not accept responsibility for your insurance company's delay of payment on your claims. 3. Cash, Check, VISA, Mastercard, American Express, or Discover are acceptable methods of payment. 4. In the event you are unable to make payment by any of the methods outlined above, you can ask for information about third-party lending institutions to assist you in paying for your dental treatment. 5. Since our time with our patients is very precious to us and lost time is irretrievable, we must charge for broken appointments when we have not been notified at least 24 hours in advance. Our charge for broken appointments is $25. Our desire is never to find it necessary to make this charge. Please keep your appointment, we are waiting for you. Payment Options 1. Payment at time of service: This includes estimated payments by insurance plans, and your co-pay. 2. Monthly payment plans: Wells Fargo Bank offers 3 or 6 month NO INTEREST financing for approved applicants. There are no hidden fees. 3. Prepayment courtesy: A 5% accounting discount for all treatment over $600 that is paid in full by cash or check at the start of treatment. If you have insurance, since you have prepaid, the benefits will be sent directly to you from you insurance company. --- You will be asked to sign this policy signifying your acknowledgment of and agreement to our financial policies before dental services at Brain S. Coates, DDS, P.A. are rendered. We look forward to caring for your dental needs. |