FINANCIAL POLICY
Any special financial arrangements must be made prior to any treatment.
PATIENTS WITH INSURANCE
Questions? Call and talk with Zorana, our office manager, concerning any questions you have regarding your specific insurance coverage.
We will submit claims to your primary insurer as a courtesy to you. If payment has not been received in our office within 45 days from Date of Service, you will be billed and responsible for payment of your balance in full within 30 days of our statement date.
If no predetermination of benefits is done, you will be asked to pay your deductible plus projected co-payment for the visit if it is a company policy that we are familiar with. If we are not familiar with your policy and unable to do a predetermination on the day you come in, then you will be expected to pay your bill in full and be reimbursed by us if we receive the insurance check.
If your insurance benefits are predetermined, you will be asked to pay the full amount not covered by insurance benefits, on the day of service.
After your insurance has paid its share of the bill, you are responsible for payment in full of the balance within 30 days of our statement date.
PATIENTS WITHOUT INSURANCE
Payment in full is required at the time of service. For prosthetic procedures that require more than one appointment, payments can be divided into two equal payments if arrangements are made prior to the start of treatment.
CARE CREDIT HEALTH CARD
Arrangements can be made before treatment to enroll in CARE CREDIT. This is a health credit card. You can receive an interest free loan up to 3 months after which you will begin interest charges. You may also apply for a longer term loan in which you can arrange low monthly payments for an extended period.
(SHORT TERM NO INTEREST LOANS TO QUALIFIED PATIENTS CAN BE ARRANGED BY CALLING CARE CREDIT 800-365-8295 (www.carecredit.com) or CITIBANK 1-866-843-2330 (www.healthcard.citicards.com.)
MISSED APPOINTMENTS
Should you be unable to keep an appointment time that has been reserved for you, we ask that you inform us within 24 - 48 hours so that we can schedule another patient in your time block.
We reserve the right to apply a failed appointment charge if you do not keep your appointment time or show up late.
There will be a $25 fee for all returned checks.
BARRY C. WILLIS, DDS - FOR ALL YOUR DENTAL NEEDS - SERVING CHINO VALLEY, PAULDEN, WILLIAMSON VALLEY, PRESCOTT, ASHFORK, SELIGMAN
EMERGENCIES
928-636 2359
