FINANCIAL POLICY

We would like to thank you for choosing Pediatric Orthotics Specialists and allowing us to provide your child’s orthotic needs. The policies listed herein have been approved by the management with the goal of providing the finest care and service to our patients.

We are committed to providing you with the best possible care. In order to accomplish this, we need your assistance in reading and understanding this financial responsibility and our payment policy.

RESPONSIBILITY FOR THE BILL
It is the expectation that all patients/guarantors receiving services are financially responsible for the timely payment of all charges incurred. While the practice will file verified insurance for payment of the bill(s), the patient/guarantor is ultimately responsible for payment and agrees to pay the account(s) in accordance with the rates and terms of the practice in effect at the present time.

ACCEPTANCE OF INSURANCE
We cannot bill your insurance company unless you give us your insurance information (copy of card). Your insurance policy is a contract between you and your insurance company. We are not a party to that contract.

We ask that you be as familiar as possible with your own plan, including types of coverage and restrictions. While our staff is trained to assist you with your insurance questions, COVERAGE ISSUES can only be addressed by your employer or group health administrator. Although our assistance is available, we can not act as a mediator on your behalf.

PAYMENT ARRANGEMENTS
The practice will make a reasonable effort to assist patients/guarantors in meeting their financial obligations. Financial arrangements for payments will be made if necessary and requested.

PATIENT RESPONSIBILITY
Partial payment of out of pocket balances/coinsurance/deductible is expected at time of delivery. The approximate out of pocket cost will be explained prior to pursuing orthoses.
Balances after insurance payment are due within 30 days, unless other satisfactory arrangements have been made with the practice.

Not all services are covered by all insurance companies. It should be understood that by accepting the service, the patient/guarantor is responsible for payment regardless of whether the insurance covers the service.

The practice can not become involved with any third party liability matters and must always look to the the patient/guarantor for payment of the bill.
According to your insurance contract, you are obligated to pay any co-pay, deductible or non-covered service.

COORDINATION OF BENEFITS
We will submit any non-covered services and/or deductibles to your secondary insurance if available.

COLLECTIONS
Please be advised that if your account is not paid in full, or satisfactory arrangements are not made, you account will be turned over to Account Receivable Solutions.