Billing and Payments. You are expected to pay for each session at the time it is held, unless we agree otherwise or unless you have insurance coverage that requires other arrangements. All charges are your responsibility whether the insurance company pays or does not pay. Not all services are covered benefit in all contracts. Fees for these services along with unmet deductibles and copayments are due at the time of appointment. All balances older than 90 days may be subject to collection placement and collection fees which will be charged to the responsible party. We understand that temporary financial problems may affect timely payment of your balance. We encourage you to communicate any such problems to our billing personnel, so that we can assist you in a management of your account with a payment plan. INSURANCE REIMBURSEMENT: If you have health insurance, I can fill out forms and provide you with assistance to help you receive your benefits. Please note that you, not your insurance company, are responsible for full payment of my fees. If your insurance changes, you are responsible for notifying my office of this change in writing. It is important that you find out exactly what mental health services your insurance policy covers. If you have questions about the coverage, you may choose to contact your plan administrator. Your contract with your health insurance company requires that I provide the health insurance company information relevant to the services that I provide to you. I am required to provide a clinical diagnosis. Sometimes, I am required to provide additional clinical information, such as treatment plans or summaries, or copies of your entire clinical record. In such situations, I will make every effort to release the minimum information about you that is necessary for the purpose requested. This information will become part of the insurance company files. In some cases, the insurance companies may share clinical information with a national medical information databank. I can provide you with a copy of any report I submit, at your request. By signing this Agreement, you agree that I can provide requested information to your insurance carrier. Your signature below indicates that you have read the information in this document and agree to abide by its terms during our professional relationship. You may request a copy of this document. Patient’s Name (Please Print) Date:
Billing and Payments. I accept payment for services I provide by cash or check. You will be expected to pay session fees in full at the time of each session unless we agree to some other extraordinary arrangement, otherwise your account will be considered delinquent. Payment schedules for other professional services will be determined when/if they are requested. Payments for these other professional services will be considered overdue if not made according to the pre- determined payment schedule, and your account will be considered delinquent. If you make a payment by check and your check does not clear due to insufficient funds or any other reason, you will be expected to reimburse me in full for any related bank fees that are incurred as a result in addition to the fee for therapy. If your account is delinquent, I may retain the services of a collection agency to recover the fees that are owed to me. You will also be responsible for any fees the collection agency may charge for my use of their services, including interest that might be applied to your outstanding balance. I will protect your confidentiality to the extent of only sharing the smallest amount of relevant information to a collection agency that is necessary to allow the agency to collect the fees that are owed (see below for more on your confidentiality). I will attempt to notify you before submitting your account to a collection agency in an effort to avoid having to take this measure.
Billing and Payments. You will be expected to pay the full fee, or your full copayment/coinsurance amount if you are using insurance, at the time of each session unless we agree otherwise or unless you have insurance coverage that requires another arrangement. We accept payments by check or cash. Payment schedules for other professional services will be agreed to when they are requested. If you make a payment by check and your check does not clear due to insufficient funds or any other reason, you will be expected to reimburse us in full for any related bank fees that we are charged as a resul t.
Examples of Billing and Payments in a sentence
Despite competition from other technologies, we saw growth in both revenues and operating income in our core local telephone, or RLEC, business segment.
BILLING AND PAYMENTS -------------------- The one-time Acceptance Fee, first year's Annual Fees and Trustee's Counsel Fee will be payable at closing.
BILLING AND PAYMENTS In addition to periodic finance charges, Greenwood may impose certain other charges and fees on Discover Card accounts.
More Definitions of Billing and Payments
Billing and Payments. You will be expected to pay for each session at the time it is held (i.e., at the time services are rendered), unless you have insurance coverage that requires another arrangement. This policy applies to payment of insurance co-pays and deductibles, if applicable. Full payment by cash or check is due at the start of each session. If you incur a cancellation or missed appointment fee, this must be paid promptly, and at least prior to your next scheduled appointment. If you have more than three unpaid sessions and you are unable to pay your bill, we may stop treatment until the bill is paid, or make other arrangements for your treatment. If you have a PPO insurance or use out-of-network benefits that reimburses you for psychotherapy, upon request I will provide you with a monthly statement to submit to your carrier for reimbursement. You will pay my full professional fee ($180 for initial session $ 150 for follow up sessions) directly to me, and submit a statement to your insurance company for reimbursement.
Billing and Payments. For each month during the Delivery Term, Seller will invoice Buyer for an amount equal to the product of (a) the Bundled REC Price and (b) the portion of the Contract Quantity delivered to Buyer during such month, as evidenced by quantity of WREGIS Certificates transferred to Buyer’s WREGIS account by Seller. With respect to the Energy portion of the Product, Seller shall receive compensation directly from the CAISO for Energy delivered to the CAISO on behalf of Buyer and Buyer shall not be required to pay any additional amount to Seller in respect of such Energy, including the Energy Price. Buyer shall make payment to Seller by wire transfer or ACH payment to the bank account provided on each monthly invoice. Buyer shall pay undisputed invoice amounts on or before the twenty-third (23rd) day of the month in which the invoice was received, provided that such invoice was received by the fifteenth (15th) day of the month, otherwise the invoice will be paid on the next month’s monthly distribution date under the Security Documents (i.e., the 23rd of the month). If such due date falls on a weekend or legal holiday, such due date shall be the next Business Day.
Billing and Payments. You are expected to pay for each session at the time it is held, unless we agree otherwise or unless you have insurance coverage that requires other arrangements. All charges are your responsibility whether the insurance company pays or does not pay. Not all services are covered benefit in all contracts. Fees for these services along with unmet deductibles and copayments are due at the time of appointment. All balances older than 90 days may be subject to collection placement and collection fees which will be charged to the responsible party. We understand that temporary financial problems may affect timely payment of your balance. We encourage you to communicate any such problems to our billing personnel, so that we can assist you in a management of your account with a payment plan.
Billing and Payments. You will be expected to pay for each session at the time it is held (i.e., at the time services are rendered. If you incur a cancellation or missed appointment fee, this must be paid promptly, and at least prior to your next scheduled appointment. If you have more than three unpaid sessions and you are unable to pay your bill, we may stop treatment until the bill is paid, or make other arrangements for your treatment. If you have a PPO insurance or use out-of-network benefits that reimburses you for psychotherapy, upon request I will provide you with a monthly statement to submit to your carrier for reimbursement. You will pay my full professional fee ($200 for initial session $ 175 for follow up sessions) directly to me, and submit a statement to your insurance company for reimbursement.
Billing and Payments. The Acceptance Fee and first year Annual Fee will be payable at closing. Subsequent Annual fees will be payable in advance at each anniversary of closing. Other fees, charges and reimbursements will be billed as incurred. Annual fees are not pro-rated for less than a year.
Billing and Payments. You will be expected to pay for each session at the beginning of our meetings, unless we have agreed on other arrangements. In the case of health insurance, you will be expected to provide any deductible or co-payments prior to our session meetings. Keep in mind that it is you (not your insurance company) that is responsible for full payment of fees. Therefore, it is very important that you find out exactly what mental health services your insurance policy covers.
Billing and Payments. Youwill be expected to pay for each session at the time it is held. I do not accept payment from insurance and do not bill insurance companies for services provided to you. Please remember that you must give at least 24 hours (prior business day) advance notice if you need to cancel an appointment, otherwise you will be charged our full fee for the time you reserved. All new patients must provide a credit or debit card to reserve initial appointment unless other payment arrangements have been made. If patient does not give 24 hour notice of cancelation, the office will charge for the missed appointment. We require that you fill out a credit card authorization sheet. In the unlikely event that you may accrue a balance, we will charge your credit card for the balance owed for more than 21 days since the last date of service, or 21 days since the last payment. If you accrue a balance and we are unable to charge your credit card, your account will be charged an additional 1.5% interest on each unpaid monthly cycle. At that time, I will not be able to schedule further appointments until your balance is paid. I reserve the right to send delinquent accounts to collections. YOUR SIGNATURE BELOW INDICATES THAT YOU HAVE READ THIS AGREEMENT AND AGREE TO ITS TERMS. I WILL ALSO SIGN THIS AGREEMENT, INDICATING A CONTRACT BETWEEN YOU AND I. YOUR SIGNATURE HERE INDICATES YOUR AGREEMENT THAT YOU HAVE RECEIVED A COPY OF THE NOTICE OF PRIVACY PRACTICES FORM EXPLAINING YOUR RIGHTS UNDER HIPAA. Name of Patient (Please Print) Date Signature of Patient Date