Payment Policy

Patients are required to pay for services when they are rendered.

As a service to you, if you have medical insurance we will bill your insurance company. We accept assignment of benefits for most insurance plans. Beaver Medical Group, L.P. is contracted with several managed care plans, preferred and exclusive provider organizations, and private insurances. You are responsible at the time of the visit for any copayment, coinsurance, and charges not covered by your insurance company.

If you are a Medicare patient, Beaver Medical Group, L.P., is a Medicare Participating Provider. We accept assignment and will bill Medicare for you. However, your responsibilities as the patient include:

• Completing the Advance Beneficiary Notice form for services that may not be covered under the Medicare Program, before services are provided.
• Payment for billings for any deductible and coinsurance amounts.
• Payment for any charges not covered under the Medicare program.

If you have multiple insurance coverages for the services rendered, please inform us of this. We will bill the services to the secondary insurance company. If your secondary insurance does not pay us within 60 days, we will bill you for the balance due on your account.

After charges are processed by your insurance company, you will receive a statement from our office indicating any balance due. Payment of the balance is expected within ten (10) days of the billing date on the statement.

We do our best to verify your insurance coverage and limitations. However, you are responsible for keeping us up to date on any changes to your plan or policy. Please inform us of any changes to your insurance coverage.

It is also very important that you inform us of any change to your address, telephone number, or employment.

Please discuss any questions or special payment circumstances with our Patient Account Representative at (909) 335-4188.

Thank you for your cooperation.

BEAVER MEDICAL GROUP, L.P.

11/20/02

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