Financial Policy

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Final Project Financial Policy Part A Tracie Blakeslee HCR/230 November 3, 2013 Santresa Sanders NEWFIELD FAMILY MEDICAL PRACTICE FINANCIAL POLICY Here at Newfield Family Medical Practice our main objective is to provide the highest quality of healthcare and to try and keep the cost of medical care down. For us here at Newfield Family Medical Practice to achieve these you as our patient need to understand our financial policy. Please read this carefully and if you have any questions, please speak to any member of our staff (“American Academy of Pediatrics”, 2013). 1. On arrival please come to the receptionist desk and check in with the front end staff, present them with your current insurance card, you will be asked for it at…show more content…
Any accounts over 90 days will be turned over to our collection agency, and will not be able to schedule an appointment with our office. 15. Newfield Family Medical Practice requires a 24 hour notice of cancellation for an appointment. A $25 cancellation fee will be charged to your account for a “NO SHOW” to an appointment or failure to give the 24 hour cancellation notice. 16. There is a $30 fee that will be charged for any personal checks being returned for insufficient funds, plus any bank fees that are incurred. 17. Not all services that we provide here at Newfield Family Medical Practice is covered by every insurance plan, any service that is not covered you are financially responsible for. I have read and understand Newfield Family Medical Practices Financial Policy and agree to comply with it. I also agree that if it becomes necessary to forward my account to a collection agency, I will be responsible for the fee’s charged by the collection agency for the cost of the collection of my account. Patients Name(s)__________________________________________________ ___________________________ __________________ Responsible party’s member’s name Relationship
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