ph: 407-889-4711 / fax: 407-889-7742
Our practice accepts the following methods of payment: Cash, personal checks, Master Card,Visa, Discover and American Express credit cards.
Self-pay patients, or patients who pay the entire bill for services incurred in this office, are expected to pay in full at the time of service.
This office does perform 'third party billing' when authorized prior to treatment. In the event of an accident, etc., the patient is responsible to provide accident details including billing information for all charges. Most insurances will be accepted providing we are able to verify coverage.
Our office makes concerted efforts to provide care within the scope of services covered by your insurance policy and that your tests are performed in the properly designated facility. If you are concerned that your insurance company may not cover services you will receive, please consult your insurance company prior to the date of service. In the event your health insurance plan determines a service to be not covered, you may be responsible for this charge.
The responsibility for payment for services rendered to any dependent children whose parents are divorced rests with the parent who seeks treatment. Any court ordered responsibility judgment must be determined between the individuals involved without the inclusion of our office.
Laboratory tests and radiology services are provided by separate businesses. You will receive separate bills for these services. We will make every effort to make certain that your services are covered by your insurance policy. If you are concerned that your insurance company may not cover services you will receive, please consult your insurance company prior to the date of service. In the event your health insurance plan determines a service to be not covered, you will be responsible for this charge.
Medical records can be copied and sent to another provider at no cost to you. This includes 7 years of clinical notes, and 7 years of test results.
A $45 charge will be incurred for one of our providers to complete any medical forms without an office visit (insurance policies, physical forms, Family Medical Leave Act, disability applications, etc).
If a check reaches our bank and your account has insufficient funds to cover the check, a $30.00 service charge will be applied to your account. In this instance, you will be asked to pay by cash or credit card for all future visits with the practice.
You are required to present your insurance card at every visit. We must have a copy of your insurance card to file any insurance for you or your family.
All insurance changes must be given to us at the time of service. If your insurance coverage changes and we are not notified, you will be responsible for all charges. We will be unable to bill your insurance for any prior charges before the change notification.
Your insurance company requires our office to collect co-payments, deductibles, and coinsurance amounts at the time of service. If you are unable to make your payment according to the terms of your insurance policy at time of check-in, you will not be seen by the provider.
Front Office Staff
Park Avenue Medical is currently participating in the following insurance plans.
© 2012 Park Avenue Medical