We ask that you read your insurance policy to be fully aware of any limitations of the benefits provided. If you are concerned about coverage for any of our services, please contact your insurance company prior to your visit.
If your insurance company denies coverage, or we otherwise do not receive payment 60 days from filing your claim, the amount will then become due and payable by you.
Remember that your coverage is a contract between you and your insurance company and/or your employer and your insurance company. Although we will make a good faith effort to assist you in obtaining your benefits, we cannot force your insurance company to pay for the services we have provided to you.
Because we realize that every person’s financial situation is different, we provide a variety of payment options.
We gladly reserve appointment times for you and appreciate that you have chosen the Center for Digestive Healing for your care. As a courtesy, we will remind you of your appointment by calling and/or text/emailing you 7 and 1 day(s) prior to your scheduled date and time. If we cannot speak to you directly, we will leave a message for you. However, in the event your mailbox is full or your line is busy, our efforts to contact you may be unsuccessful. An appointment is a contract of time reserved for your treatment. We respect our patient’s valuable time and we request the same courtesy from our patients. Please extend this courtesy should you need to cancel and/or reschedule your appointment.
Assignment and Release:
I authorize payment to be made directly to Center for Digestive Healing by my insurance company, and I accept financial responsibility for all services not covered by my insurance. I authorize release of any medical care information requested by my insurance company. My signature below acknowledges that I have read and understand this information.
Make a Payment: https://www.popmoney.com/
Center for Digestive Healing is committed to making our billing process as simple and easy as possible.
Popmoney® is a payment service that allows people to transfer money between bank accounts. Check out their digital banking services here.
HIPAA/Patient Consent Policy:
Notice of Privacy Practices Written Agreement:
I have read a copy of Center for Digestive Healing's Notice of Privacy Practices. I understand a written copy will be provided to me at any time upon my request. I understand Center for Digestive Healing has a link to the Notice of Privacy Practices on the practice Patient Portal.