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Patient Financial Policy - Lake Shore Audiology
https://lakeshoreaudiology.com/wp-content/uploads/2020/03/Financial-Policy.pdf
designated co-pay. Lake Shore Audiology accepts cash (US dollars), personal check, VISA, MasterCard, Discover, American Express and CareCredit. Unpaid accounts will be turned over to a collection agency after 90 days. High Deductibles/Co-insurance Policy High deductible plans are increasingly common.
Office and Financial Policies - Birkdale Audiology
https://birkdaleaudiology.com/wp-content/uploads/sites/65/2019/08/Birkdale-Audiology-Office-Financial-Policy.pdf
item is dispensed. All hearing aid related charges must be paid on the date you take possession of the aid, accessory or supply. Birkdale Audiology accepts payment in the form of cash, checks, and credit cards, visa and mastercard. We also offer a third-party credit program through Care Credit or Wells Fargo Health Advantage.
AUDIOLOGY ASSOCIATES Fax: 661-284-1988
https://www.audiologyassociates.net/pdf/Audiology_Associates_-_Financial_Policy.pdf
AUDIOLOGY ASSOCIATES 661-284-1900 Fax: 661-284-1988 FINANCIAL POLICY We thank you for allowing us to provide your hearing health care! We are committed to your successful treatment. In an effort to do this, we have implemented the following Financial Policy,
Financial Policy and Payment Agreement - Alliance Audiology
http://www.allianceaudiologyllc.com/UploadedFiles/Files/Financial_Policy_and_Payment_Agreement.pdf
Financial Policy and Payment Agreement The best medical care can be provided only on the basis of mutual understanding. We encourage you to contact our billing office with any questions regarding filing of insurance claims and your financial obligation to Concord Otolaryngology and/or Alliance Audiology, LLC.
Financial Policy | Ear Nose Throat & Audiology Services …
https://www.entaac.org/about-us/financial-policy/
Financial Policy. A service charge of $10 will be applied to your account for any co-payment not received at the date of service. Billing and Collections. You should receive a statement approximately every thirty (30) days unless the charges are pending with your insurance company or your balance is less than $3.00.
Clark Audiology & Hearing Aid Center Financial Policy
https://www.betterhearinghealth.com/storage/app/media/Financial-Policy.pdf
Any copays are due at the time of the appointment for new Hearing Aid purchases, Clark Audiology and Hearing Aid Center requires 50% payment at the time of ordering; the remainder 50% is due at the time of fitting. Before you come in for your first appointment, we will contact your insurance company and get a basic overview of your Audio benefits.
Financial Policy - Country Roads Audiology
https://countryroadsaudiology.com/download/financial-policy/
Harrisonburg, Rockingham County, August County, Shenandoah County, Page County, Hardy County WV, Pendleton County WV
2020 Financial Policy
https://105b31079a1ba381f52e-ac2ec5114feb632a1114f20df0e72453.ssl.cf2.rackcdn.com/Page/5be451b5-b364-4da7-889a-74880ad286aa/2020%20Financial%20Policy%20(1).pdf
FINANCIAL POLICY Thank you for choosing Allison Audiology & Hearing Aid Center as your hearing healthcare provider. The following is a statement of our financial policy which we require that you read and acknowledge prior to any service. …
ASSIGNMENT OF BENEFITS/FINANCIAL POLICY
https://www.allgenerationsaudiology.com/wp-content/uploads/Financial-Policies-Insurance-Release-Assignment-of-Benefits.pdf
All Generations Audiology PLLC requires payment. We offer repairs for $125-240+, cleaning for $25+, batteries for $4+ and adjustments for $50+ (please check for current pricing). For patients with insurance, we are happy to work with your carrier to maximize your benefit and directly bill them for reimbursement for your hearing aids.²
Office and Financial Policy - Academy of Doctors of Audiology
https://audiologist.site-ym.com/store/ViewProduct.aspx?id=14550174
Description. This is a template of a patient office and financial policy. It includes: insurance policies, payment policies, forms of payment accepted, finance options, no show fees, and bounced check fees. This form is in a Word format. Other Products of Interest.
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