Common Contracts

1 similar On File Agreement contracts

Credit Card on File Agreement
On File Agreement • December 16th, 2020

We have implemented a new, convenient payment policy using Credit Card on File, effective at Bosco E. Noronha, M.D., P.C. As you are aware, the current state of healthcare in our market has resulted in significant changes in insurance policies, co-pays, deductibles and premiums. Unfortunately, a great deal of the financial burden now falls on the patient as a result. There are insurance plans that require deductibles and copayments in amounts unknown to you, or to us, at the time of your visit. ALL PATIENTS will be asked for a credit card at the time you check in, and this information will be held securely. The amount that we will charge to the credit card on file will be the financial responsibility that the insurance company requires you to pay.

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