PATIENT CREDIT POLICY

We desire to maintain an open and direct relationship with our patients, both in matters of health and finance. If you have any questions regarding our policy, we encourage you to discuss it with us


Policy: Payments are due in full on the day of service. Costs incurred during treatment are the responsibility of the patient. Patients with dental insurance will have an estimated co-pay. This will be due along with any deductible the day of treatment. A statement will be sent for any remaining balance (the difference between our estimate and what the insurance company actually pays).

It is the patient’s responsibility to know their coverage. We will call to get a general breakdown of benefits from your insurance company and will submit a treatment plan upon request. Treatment plans usually take approximately four weeks for the insurance company to process. We encourage all of our patients to review the summary of benefits provided by their insurance company. We also encourage our patients to ask if they have any questions.

Insurance: As a courtesy to our patients, we will submit claims to insurance companies if we receive accurate and complete information. A HIPPA form must be filled out completely and signed by the patient in order for us to process patient insurance claims as mandated by the state of Minnesota and the Federal Government. Please inform the receptionist of any changes in insurance or insured. Any treatment not covered by insurance is the patient’s responsibility.

Payment
: We accept cash, check, Visa or MasterCard. Patients with no insurance are given a 5% discount if paid with cash or check. Senior citizen’s (age 65 or older) with no insurance receive a 10% discount on all services regardless of the method of payment.

Appointments:
Appointments that are not kept are unbillable hours to your insurance company. A missed appointment charge will apply if 24 hours notice is not given.