Financial Policies
In an attempt to keep your medical costs to a minimum, we have adopted the following policy regarding payments and billing. If you do not have insurance coverage or assignable insurance, payment is due in full on the day of service.
For your convenience, we accept Visa, MasterCard, American express and Discover. We also accept cash or a check drawn from a local bank. There is a $30.00 fee for a returned check. For higher cost treatment plans we offer a payment plan through a bank (you must apply and be pre-approved). Please ask our staff for more information.
We are participating members of several insurance plans such as Delta Dental, Guardian and United Concordia. If Dr. Lang is a participating provider of your insurance plan you will be required to meet the deductible and co-payment as well as any non-covered services, if applicable.
For patients with other non-participating insurance plans, 50% of the estimated fee will be required on the day of service unless a predetermination of benefits has been processed. In the case of an insurance plan that only pays the insured the entire fee will be due at the time of service. In those instances we will be happy to file your insurance claim for you to be reimbursed.
Please contact your insurance company or managed care information office to determine how you might be reimbursed or covered for a service provided in our office.
ALL ACCOUNTS MUST BE PAID IN FULL WITHIN NINETY (90) DAYS from the date of service. This amount is your responsibility. We will submit your insurance claim to your Primary insurance companies as a courtesy to you. After 90 days, your outstanding balance is due regardless of the status of your insurance claim. If processing of your claim has been delayed we request your assistance in expediting the process.
Please be sure to read your insurance booklet and forms carefully. If you are in doubt as to whether your procedure is covered, please check with your insurance company.
We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated.
If you have questions regarding your account, please contact Dawn at 321-777-2166. Many times, a simple telephone call will clear up any misunderstandings.
We will ask you to sign a financial responsibility statement reflecting acknowledgment and understanding of this policy at your initial office visit.
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