Assignment of Benefits:
Our office will happily accept assignment of benefits under the following conditions:
After verification of insurance benefits, we will accept assignment of benefits as a partial payment of the total charge. You will be expected to pay your deductible, if applicable, and any estimated patient co-payment. If after 90 days, your insurance company has not paid their portion, the patient will be responsible for paying the balance in full.
- Subscriber birthdate, social security number
- Insurance carrier, billing address, phone number and group number