I understand that my insurance company is billed as a courtesy by this office. This office DOES NOT offer benefit verification; it is the patient's responsibility to know what type of Mental Health coverage they have with their plan. If balances go unpaid by my insurance carrier or if I do not have coverage for Mental Health, it is my responsibility to pay the balances on my account. This office will provide patients with a Superbill to submit to their insurance company for reimbursement. Our office has 90 days from the date of service to submit claims to insurance companies. After 6 months of attempting to bill the insurance company without payment or response, I understand that the balance will become my responsibility. We will no longer submit claims after 6 months of non-payment.
OUR OFFICE DOES NOT ACCEPT ANY FORM OF MEDICAL ASSISTANCE OR STATE INSURANCE.
It is the patient's responsibility to keep their insurance information up to date with our office. We will attempt to contact the patient via phone call, email and paper mailing statements for updated insurance information; however, if attempts go unanswered, the balance will become the patient's responsibility. I understand that I am financially responsible for deductibles, co-payments, co-insurance, missed appointment fees, non-covered charges, and any balances not covered under a contractual agreement between Riddle Psychiatry and my insurance payer.