Adirondack Family Chiropractic, P.C.
Financial Policy
Payment of your bill is due at the time of service. (This helps us keep medical costs down by eliminating the need for billing services.) See below for more details:
All applicable co-pays, personal balances, both current and prior, are due at the time of service—unless prior arrangements have been made with our billing department at (518) 561-6004. Please note: a $5 monthly surcharge is added to each bill not paid within 30 days.
We accept cash, local checks, debit cards, Master Card/Visa and American Express. Please note: we assess a $35.00 fee for all returned checks.
Insurance cards must be presented at the first visit and changes to personal information (e.g., address, phone, name) must be reported promptly. (This helps us keep our records accurate and up-to-date.)
We accept assignment of benefits from all insurance companies with which we participate. But in all cases, the guarantor (the person who is financially responsible) is liable for all balances not covered by insurance. Please be aware that some of the services provided may be “non-covered” services or may not be considered medically necessary under the Medicare program and other medical insurance companies. It is your responsibility to understand and comply with any predetermination of benefits or referral requirements.
If we do not participate with your insurance company, or you do not have insurance, full payment is expected at time of service—unless other arrangements have been made with our billing department, (518) 561-6004. Please note: if we do not participate with your insurance provider, you must cover all costs up front. We will submit the bill, indicating the amount you’ve paid, to your insurance company, which will reimburse you directly. A $5 monthly surcharge is added to each bill not paid within 30 days.
If we have not received payment from your insurance company within 45 days of date of service, you will be expected to pay the balance in full.
If you are involved in a liability action (auto accident, work injury, etc.), you are required to provide all employers information, insurance company name, and contact information.
If you have more than one insurance plan, we will bill your secondary insurance provider after we have received reimbursement from your primary.
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