Financial Information

For your convenience, we accept Visa, MasterCard, Debit, American Express, Discover, CareCredit, Prosper Healthcare Lending, United Medical Credit,  Cash or Check. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at the location services were rendered.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to eight weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. If you are in need of a payment plan, we are proud to offer CareCredit, Prosper Healthcare Lending or United Medical Credit. Please apply prior to your procedure.

Alaska OraL Surgery Group FINANCIAL POLICY

We are committed to providing you with the best possible care, and we are pleased to discuss our professional fees with you at any time. Your clear understanding of our Financial Policy is important to our professional relationship. Please ask if you have any questions about fees, the financial policy or your responsibility involved.

FULL PAYMENT IS DUE AT THE TIME OF SERVICE unless arrangements have been made with our office staff, prior to your appointment, because we have verified your insurance benefits, or the doctor has agreed to a payment plan for financial hardship.

*A Special note: In situations of divorce, separation, court orders etc., the party initiating the treatment will be financially responsible for the account. We are an UNINVOLVED third party.

WE LOOK TO YOU, NOT THE INSURANCE COMPANY FOR ANY UNPAID BALANCES. YOU ARE RESPONSIBLE FOR THE TIMELY PAYMENT OF YOUR ACCOUNT.

Payment Due at Time of Service:  We require full payment for treatment at the time of service unless specified otherwise. We can provide you with an insurance estimate of benefits and provide you with a down payment fee based on planned treatment. Our staff will clearly let you know what you will be expected to pay on or before the date of treatment. Our estimates of what your insurance company will pay is not guaranteed as we have no control over what the insurance company deems payable.  You will be responsible for paying any charges not paid by your insurance company within 30 days of your insurance decision. If no insurance is billed, your payment is expected in full at the time of service unless other agreements have been made prior treatment.

Insurance Billing:  As a courtesy, we accept assignment of benefits for primary and secondary insurance and will bill your insurance company for you.  It is your responsibility to know what your benefits are and to provide our office with complete accurate insurance and billing information at or before the time of service.  Our office cannot and does not guarantee that your insurance company will pay for any part of your treatment.  Your insurance policy is a contract between you and the insurance company. Any disputes/appeals that you have regarding the insurance company decision’s in respect of payment for your treatment is your sole responsibility to pursue. We will not dispute an insurance company’s decision of payment for treatment for you.

NO SHOW/LATE CANCELLATION FEES

Patients who fail to attend their scheduled appointment, are more than 15 minutes late, or do not notify the office at least 24 hours in advance of their scheduled appointment time to reschedule will be subjected to a no show/late cancellation fee of $105.00.  In the event of an actual emergency where prior notice could not have been given, consideration will be given to waiving or reducing the fee at the sole discretion of the practice. This fee is not covered by insurance and therefore, is the sole responsibility of the guarantor and must be paid before the appointment will be rescheduled.