Our Credit Card on File Program is intended as both an advantage to you and to our office. You will no longer have to write out and mail us checks or call us to provide a form of payment over the phone. This system will greatly decrease the number of statements that we have to generate and send out thereby benefitting everybody in helping to keep the cost of health care down. You will be asked for a credit card at the time you check in and the information will be held on our secure server. You will always have the option to pay fees using another payment method, if you do so in a timely manner. Charges to the credit card on file will be determined as follows:
Copays/Self Pay Charges – Copays are due on the date of service, per your contract with your insurance company. Self-pay charges are due on the date of service, per your agreement with our office. You may present another method of payment prior to, or at the time of service. If another method of payment is not offered by the date of service, your credit card will be charged.
Coinsurance and/or Deductibles – These amounts are determined after your insurance company has completed processing your claim. If a balance remains on your account after we receive your insurance check, your credit card will be charged for any balance due.
Late Cancellation or No Show Charges – These charges are generated by your provider if you fail to show up for a scheduled appointment or if you do not give adequate notice for canceling an appointment. If you incur such a charge, your credit card will be charged for any balance due.
This will not compromise your ability to dispute a charge or question your insurance company’s determination of payment. PLEASE NOTE: If the credit card provided expires, becomes invalid, or lacks sufficient funds, it will be required that you update your credit card on file information immediately and/or pay your balance in full in order to reschedule with your provider.