Acknowledgement of above information about payment and insurance
Payment and Insurance ·
Full payment is required by the end of each session. Acceptable forms of payment include personal checks, credit cards, Apple Pay, and cash. · To maximize time spent on clinical matters, patients are encouraged—and in some cases required—to provide credit card information early in treatment. This data will be securely stored using digital encryption technology. Office visits, including missed appointments, will be billed automatically unless otherwise arranged. · Dr. Salvatore is considered an out-of-network provider to all patients. This means he does not have contracts with insurance companies to accept copayments or coinsurance for office visits, and therefore patients are responsible for the full payment of each office visit.
Most insurance plans offer partial reimbursements for out-of-network office visits. Patients are responsible for determining what level of reimbursement they are entitled to receive under this arrangement. · Shortly after an office visit with Dr. Salvatore. patients will receive a billing statement by mail or email that can be submitted to their insurance companies for reimbursement. This statement will contain all the information necessary for a claim to be processed, including diagnosis (ICD) and encounter (CPT) codes, Dr. Salvatore’s Tax ID number, fee and date of service.