Prompt Payment Expected
After your insurance has reimbursed our clinic,
we will send you a statement of patient payment responsibility.
The bill is payable upon receipt. Once the bill is classified
as patient responsibility, you will receive a maximum of three
statements. If the bill is not paid in full within 60 days, or
we have not heard from you in the business office regarding the
bill, you will receive a pre-collection letter. If we still have
not heard from you within an additional 10 days, your account
will automatically be turned over to a collection agency.
How can I pay?
We accept payment by cash, check, Visa, MasterCard,
and Discover. By using Visa/MasterCard, for co-payments, etc.
you assign the right to Adolescent and Young Adult Medicine, PS
to bill future CO-payments and balances, etc. on your credit card.
Self Pay - No Insurance
If you have no medical insurance, choose not
to use your benefits or you request a service that is not covered
by your insurance, our policy is for the patient to pay for all
services in full at the time services are rendered
Non sufficient founds (NSF) - returned
$25.00 fee will be charged for each check
returned for non-sufficient funds.
Use of Collection Agencies
This is a last resort to ensure that we receive
payment for services performed in good faith with the expectation
of payment. We only turn accounts over to collection when a patient
ignores our repeated requests for payment. If you have been turned
over to a collection agency and you call to schedule an appointment,
the amount in collection must be paid prior to being seen in the
office or at the time of the visit, but prior to being seen. We
will not turn you away in the case of a true medical emergency,
but routine office visits or procedures will not be scheduled
until the amount in collection is paid in full. Once an account
has been turned over to a collection agency, we no longer correspond
with the patient regarding the unpaid balance. The patient or
responsible party must resolve the unpaid debt with the agency.