PAYMENT THROUGH INSURANCE Sample Clauses

PAYMENT THROUGH INSURANCE. The Provider agrees to accept the family’s private insurance (including TRICARE or its equivalent), or Virginia Medicaid or FAMIS for payment of Medicaid eligible services. CSA will not fund services covered by the above forms of insurance if that insurance is available to pay for services unless prior authorization has been obtained through the CPMT. When all or any portion of the services rendered by the Provider hereunder is covered by a policy of insurance, TRICARE (or its equivalent), Medicaid, or FAMIS, the Provider shall submit claims for such service to the insurance company holding such policies or to TRICARE (or its equivalent), as the case may be. If the Provider receives Virginia Medicaid or FAMIS payments for services rendered under this Agreement, such payments shall constitute payment in full for those services. With the exception of a required deductible, copayment, and/or coinsurance through third party payment, the third party payment shall constitute payment in full for those services.

PAYMENT THROUGH INSURANCE. If you have medical insurance, we will submit claims on your behalf based on the treatment rendered by the Practice. It is your responsibility to know whether the Practice is considered an “in network” or “out of network” provider. The agreement you have with your insurance carrier will determine whether you will be held responsible for the payment of the treatment in full or a portion based on the coverage of your insurance. If you have any questions regarding your medical benefits, we recommend that you contact your insurance company directly. At the time of your first visit, we will request a copy of your insurance card or print out from your insurance carrier that provides us with the following information: GROUP NAME, GROUP NUMBER AND ID #, AS WELL AS THE MAILING ADDRESS FOR MEDICAL CLAIMS. Without this information, the Practice will treat you as a private pay patient and it will be your responsibility to submit the insurance claim directly to your carrier. Please note that we cannot waive the collection of your deductible or co-pay at the time of service. We bill your insurance company as a courtesy. If insurance does not pay within 45 days, we reserve the right to request payment in full for services from you directly and let you collect the insurance funds that are due to you directly from your insurance company. Although this is a rare occurrence, you understand that you are ultimately responsible for all charges incurred in our office for medical treatment.