CHARGES TO ACCOUNT. GBC may, in its discretion, require that Borrower pay monetary Obligations in cash to GBC, or charge them to Borrower's Loan account, in which event they will bear interest at the same rate applicable to the Loans.
CHARGES TO ACCOUNT. Greyrock may, in its discretion, require that Borrower pay monetary Obligations in cash to Greyrock, or charge them to Borrower's Loan account, in which event they will bear interest at the same rate applicable to the Loans.
CHARGES TO ACCOUNT. 6.1 You authorize us to charge your applicable account with the following:
CHARGES TO ACCOUNT. We shall have the right to cancel your privilege to make charges against your account at any time. Future visits would then need to be paid at the time of service.
CHARGES TO ACCOUNT. We may charge for our services and debit your Account(s) at any time with the following:
CHARGES TO ACCOUNT. We shall have the right to cancel your privilege to make charges against your account at any time if payments are not being made at each date of service.
CHARGES TO ACCOUNT. ALL medications and products must be paid for before leaving the building. Charging medication/products is not allowed. Charging to another client’s account: Services cannot be charged to another account unless the account holder agrees, in writing, to accept responsibility for the account in the event of default.
CHARGES TO ACCOUNT. Upon reaching an agreement with your insurance company or attorney, charges may be made to your account without payment at time of service during your personal injury claim. We shall have the right to cancel this privilege at any time if circumstances between this office and your attorney or insurance company change. When appointments are not made and kept according to your treatment plan, you may be released from our care due to non-compliance. Treatment may no longer be charged to your account. The bill from your personal injury treatment may or may not be transferred to you. Authorization: I authorize Skye Chiropractic, and their respective agents and contractors to contact me regarding my balance at the current or any future phone number that I provide for my cellular phone and other wireless device using automated telephone dialing equipment or artificial or pre-recorded voice or text messages.
CHARGES TO ACCOUNT. We shall have the right to cancel your privilege to make charges against your account at any time. Future visits would then need to be paid at the time of service. (As of June 21, 2016 if your account (including any person linked to the account) has a balance of less than $500.00, account must be paid in full before being seated for dental procedures. If the account balance exceeds $500.00, a 10% balance must be paid on the account as well as the full amount for any dental procedures completed at the time of service. Any insurance payments for that day of service will be applied to the past due balance reflected on the account.) No exceptions. Contracted Insurance (in network): If we are contracted with your insurance company, we must follow our contract and their requirements. If you have a co-pay or deductible, you must pay that at the time of service. It is the insurance company that makes the final determination of your eligibility. Benefits verified by our office are only a quote of benefits and not a guarantee of payment. You are responsible for any portion not paid by your insurance company. Non-contracted Insurance (out of network): Insurance is a contract between you and your insurance company. We are NOT a party to this contract, in most cases. We will bill your primary insurance company as a courtesy to you. Although we may estimate what your insurance company may pay, it is the insurance company that makes the final determination of your eligibility. You agree to pay any portion of the charges not covered by insurance. Benefits verified by our office are only a quote of benefits and not a guarantee of payment. You are responsible for any portion not paid by your insurance company.
CHARGES TO ACCOUNT. Upon reaching an agreement with your worker’s compensation carrier, employer, or attorney, charges may be made to your account without payment at time of service during your worker’s compensation claim. We shall have the right to cancel this privilege at any time if circumstances between this office and worker’s compensation carrier, employer, or attorney change. When appointments are not made and kept according to your treatment plan, you may be released from our care due to non-compliance. Treatment may no longer be charged to your account. The bill from your worker’s compensation treatment may or may not be transferred to you. Effective Date: Once you have signed this agreement, you agree to all of the terms and conditions contained herein and the agreement will be in effect. You may receive a copy of this agreement upon request. Insurance and payments: While you are under care for your worker’s compensation claim you authorize us to send your records and bills to the appropriate companies. (i.e. worker’s compensation carrier, employer) You authorize your worker’s compensation carrier, employer, or attorney to pay benefits directly to Skye Chiropractic. If benefits are paid directly to you the patient, payment for your full bill will be expected promptly after your settlement is reached. Any unpaid balance over 120 days post settlement will be transferred to our collections agency. If we refer your account to a collection agency, you agree to pay all of the collection costs that are incurred to you and it will become your responsibility. The worker’s compensation carrier, employer, or attorney will make the final determination of your eligibility and amount of the settlement. If you disagree with any verification or payment on your behalf, it will be your responsibility to pay your account balance in full. Any discrepancies will be handled between you and your worker’s compensation carrier, employer, or attorney.
