• Payment for treatment is due the day the services are rendered unless other arrangements have been agreed upon.
• Patients are responsible for payment of all charges on their account. Insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment.
• Insurance carrier's deductible/co-payment/co-insurance/etc. is to be paid on the day services are rendered.
• Any balances still remaining on your account after 60 days regardless of any pending claims will be cleared by the patient. We are committed to submitting claims (electronically for most insurance carriers) within 24 hours of your treatment.
• A copy of the patient’s insurance card may be requested on the date of consultation.
• If a patient’s account is placed into collection action, the patient is responsible for all the costs associated with such action (collection agency and attorney's fees included).
• In respect of your time appointments are CONFIRMED WHEN THEY ARE MADE. We kindly request a minimum two day notice if your personal schedule requires you to RESCHEDULE. Advance notice allows us to contact someone waiting for care.
• You, the patient, authorize payments directly to Simona C. Arcan, DMD, MD. Inc. for insurance benefits otherwise payable to you.
The accepted forms of payment are cash, check, Visa, MasterCard and CareCredit.
