Payment Policy Notice Template | MDO103-1

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easily editable in ms wordPayment Policy Notice Template

MDO103-1 PAYMENT POLICY should be clearly posted in plain view of all patients near the receptionist area. The Payment Policy Notice Template states that payment for services are due at the time of the visit and lists the forms of payment accepted. It also covers insurance issues and the name of the billing manager in case of questions regarding bills. It’s very important to bill patients and insurance companies promptly, and with accuracy.

If the patient is paying for the visit privately, the receptionist will take the payment from the patient and give them a receipt for the visit, along with a copy of the procedure sheet. The patient may then submit the appropriate forms to their insurance company if they participate with a plan not accepted by the office. If the patient participates with an insurance policy that is accepted by the medical office, they may be required to pay a pre-set co-payment. The receptionist will take the co-pay from the patient and then submit the rest of the bill to the insurance company for reimbursement. The patient will receive a copy of the procedure sheet.

Payment Policy Notice TemplatePayment Policy Notice Template Details

Pages: 01
Words: 114
Format: Microsoft Word 2013 (.docx)
Language: English
Manual: Medical Office
Procedure: Billing Procedure MDO103
Type: Form

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