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| MEET DR. NILFA | FIRST VISIT | TEEN PAGE | KIDS STUFF | FAQ's ----------------------------------------------- FORMS & DOCUMENTS |
contact us | office policies | parents corner |
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Office Policies & Payment options First Visit Information Regulations prevent us from prescribing medication to anyone who is not a current patient of the practice. Therefore, if your child has a medical condition and is required to take medication before undergoing any dental procedure, including prophylactic cleanings, any medication must be prescribed by your child’s current physician prior to the first visit. After the initial visit, required medication can be prescribed by doctors working in Collins Dentistry for Children. Appointments Since appointed times are reserved exclusively for each patient, we ask that you please notify our office 24 hours in advance of your scheduled appointment time if you are unable to keep your appointment. Another patient who needs our care could be scheduled if we have sufficient time to notify them. We realize that emergencies occur, but we ask for your assistance in this regard. If you do not call to cancel and fail to show as scheduled, you may be charged a broken appointment fee of $50.00. If your child misses three (3) consecutive appointments, we may request that you seek dental care at another office that can better accommodate your schedule. Records/X-Rays Insurance Claims What insurance plans do you take? Please keep us informed of any insurance changes such as policy name, insurance company address, or a change of employment status. *IMPORTANT NOTE ABOUT INSURANCE COVERAGE: Insurance providers we work with may change at any time and without notice. If you have any questions regarding your insurance provider, please contact our office at (603) 635-1166. Thank you. Co-Payment Insurance companies set their own schedules, and each company uses a different set of fees. These allowable fees may vary widely because each company collects fee information from claims it processes. The insurance company then uses this data to establish their fee schedule. Depending on the type of insurance you have and the exact nature of the plan, you may be responsible for the difference in what the insurance company pays and the fee assessed for services provided. Payment is expected at the time services are provided by the person(s) accompanying the patient unless other arrangements have been made with our office in advance. In the event reimbursement is expected from a third party, it is the responsibility of the person(s) making the appointment and bringing the patient to the office to pay for services rendered and seek reimbursement from third parties. Collins Dentistry for Children will not be responsible for seeking payment from third parties. Additional Financial Information If we have received all of your insurance information on the day of the appointment, we will be happy to file your claim for you. You should be familiar with your insurance benefits, as we will collect from you the estimated amount insurance is not expected to pay. By law your insurance company is required to pay each claim within 30 days of receipt. We file claims in a manner such that your insurance company will receive claims within days of the treatment. You are responsible for any balance on your account after 30 days, whether insurance has paid or not. If you have not paid your balance within 60 days, a finance charge may be added to your account each month until paid. If you have not made payment arrangements with our office within 90 days of services being provided, your account may be frozen and referred for collection. Once referred for collection, further services will not be provided until the outstanding balance is paid. In the event payment cannot be made in full within the above referenced time frames, please call the office to discuss alternative payment plans. We will make every attempt to accommodate your situation. Which credit
cards do you accept? What
kind of payment plans do you have? Do you offer any financing options? More about CareCredit financing CareCredit offers a full range of payment plans so you can find one that works best for you. With the popular No Interest Payment Plans* there are no interest charges if you pay your balance in full within the specified time period. Monthly payments can be as low as 3% of your balance. For procedure fees from $1,500 to $25,000, CareCredit offers 24, 36, or 48 month plan options with low monthly payments available. CareCredit can be used by the whole family for ongoing treatment without having to reapply. And by using CareCredit for your dental care, you can save your other credit cards for household or unplanned expenses. It only takes a few minutes to apply for CareCredit and you'll receive an online decision in seconds! Apply Now or speak with our staff for more details. Terms and conditions Extended Payment Plans |
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