We accept payments by the following – Cash, Check, Visa, MasterCard, and No-Interest Payment Plans through Care Credit Financing.
Austin A Burns DDS, PC requires full payment at the time of service. This includes, but is not limited to, deductibles and residual portions not covered by insurance. Please understand that all insurance payments are an estimate only. Your actual payment may be more or less than quoted to you. The patient is responsible for, and should be prepared to pay for, all amounts not paid by your insurance at the time of each visit.
Parents, guardians, or personal representatives are responsible for all fees and services rendered for treatment of a minor/child.
The patient/guardian accepts full financial responsibility for all charges for services provided. The patient/guardian understands that filing a claim with the insurance company does not relieve any responsibility for the payment of all charges. If the fees pursuant to this agreement are not paid, the patient/guardian understands that the patient and responsible party(ies) shall be responsible for all costs of collection, including but not limited to attorney’s fees. In the case of minor children, we do not get involved in the financial arrangements related to divorce settlements. The parent presenting the child will be held responsible for all charges.
We will be glad to file your insurance claim for you or provide you with the claim information, which you may file with your insurance carrier or union office. This will allow you to be reimbursed by your insurance company or have your insurance payment sent directly to our office. Your insurance company or union has an obligation to you, none to the doctor. You are financially responsible to us for all services rendered.
Our office politely requests that all patients unable to meet their reserved appointment(s) give us, at minimum, a 24-hour advance notice. With this prior notice, we can reschedule your appointment and let another patient have the appointment time originally reserved for you. Failure to inform us 24 hours in advance of a schedule change may result in, at minimum, a $25.00 charge to your account.
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