Common use of Payment Plan Options Clause in Contracts

Payment Plan Options. I understand that if I have an outstanding balance as the result of deductibles, co-insurance or self- pay, I have the option to work with Provider to set up a mutually agreeable payment plan approved by Provider. Provider will not waive, fail to collect or discount co-payments, co-insurance, deductibles or other patient financial responsibility in accordance with State and Federal low, as well as participating agreements with payers. I understand that future services may be denied if my account is not current, or I have failed to make payment arrangements on my account. I also understand that I may be asked for payment for services in advance.

Payment Plan Options. I understand that if I have an outstanding balance as the result of deductiblesDeductibles, coCo-insurance Insurance, or self- self-pay, I have the option to work with Provider to set up a mutually agreeable payment plan approved by Provider. Provider will not waive, fail to collect collect, or discount co-payments, co-insurance, deductibles or other patient financial responsibility in accordance with State and Federal lowlaw, as well as participating agreements with payers. I understand that future services may be denied if my account is not current, current or I have failed to make payment arrangements on my account. I also understand that I may be asked for payment for services in advance. Additional payment options may be available through Provider’s Payment Assistance Program.