We at Arizona Desert Ear, Nose & Throat Specialists are committed to providing quality care and service to all of our patients. Your understanding of our financial policies is important to our professional relationship. Please take a moment to read through this document to fully understand your responsibility as a patient.
Insurance Information: You are responsible for making sure we have all up-to-date insurance information on file, including current insurance cards. Failure to provide this information in a timely manner may result in the charges being billed to you. We ask that you update and verify your record at each visit.
Health Plan Deductibles, Co-Payments and Coinsurance: If you have not met your health plan’s deductible on the date of service, we will collect an estimated amount before you are seen, which will go toward your deductible. Please note you may receive a bill for additional charges for services rendered. You are responsible for any co-payments and co-insurance required by your insurance carrier at the time of service. Payments received in excess of charges may be applied to subsequent services.
Non-Covered Services: We will do our best to verify coverage before you are seen, but it is ultimately your responsibility to ensure payment of your bill. Any services performed by our providers that are not covered by your insurance is your responsibility. It is your responsibility to know your benefits prior to being seen. Verification of benefits and insurance coverage is not a guarantee of payment.
Referrals: We will do our best to ensure we have a valid referral for services on file. However, if your insurance policy requires a referral, you are responsible for making sure there is a current and valid referral on file prior to being seen.
Self-Pay: If you don’t have health insurance, are on a plan we are not contracted with, or if we are unable to verify your coverage at the time of service, we will collect an estimated payment before you are seen by a provider. There may be additional charges depending on the services actually provided for which you may receive a bill.
Returned Checks: We charge a $25.00 fee for any returned checks.
No-Show Policy: If you are unable to make your appointment, we ask that you cancel your appointment at least 24 hours before you are to be seen in our office. Failure to cancel an appointment in a timely manner will result in a no-show fee of $25.00. Multiple no shows may result in the patient being discharged from Arizona Desert Ear, Nose & Throat Specialists.
Minors: For all services rendered to minor patients, the parent, guardian or responsible party who brings the patient to the appointment is responsible for all payments due at the time of service. Delinquent Accounts: Additional fees, including collection fees and finance charges may be added to unpaid delinquent accounts. A finance fee of $5 will accrue each time a new statement is generated after the first statement was sent out and partial or no payment has been made. Your account may be sent to a collection agency if the balance is 90-days old and partial or no payment has been made toward the balance.
Contact: If you have any questions regarding your bill, please contact the Arizona Desert Ear, Nose & Throat Specialists billing office at (623) 209-7771.
