Common Contracts
2 similar null contracts
Wham Counseling, LLC Payment Policy and AgreementSeptember 6th, 2018
We are committed to providing you with the best possible care, if you have medical insurance we will help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our payment policy. Payment or co-payment for services is due at the time services are rendered. We will be happy to process your insurance claim for reimbursement. The attached Assignment of Benefits is required for us to correctly submit your insurance claim.
Wham Counseling, LLC Payment Policy and AgreementDecember 7th, 2017
We are committed to providing you with the best possible care, if you have medical insurance we will help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our payment policy. Payment or co-payment for services is due at the time services are rendered. We will be happy to process your insurance claim for reimbursement. The attached Assignment of Benefits is required for us to correctly submit your insurance claim.
