(Amended 2-11-17)
We at Allison Family and Cosmetic Dentistry are proud to be a part of a team whose primary mission is to deliver the finest and most comprehensive dental care services today. In order to assist you with your health care investment, we provide several methods in which you may pay for your care.
INSURANCE
We will gladly process your insurance claim.
We will estimate your deductible and co-payment of your particular plan. The estimated deductible and/or co-payment is due at the time of treatment (Co-payment collected at check-in) and may be paid by cash, check (For established Patients only), VISA, MasterCard, American Express, Discover or CareCredit.
OUR ESTIMATES ARE NOT A GUARANTEE OF PAYMENT AND ARE SUBJECT TO FINAL APPROVAL BY YOUR INSURANCE COMPANY; THEREFORE, THE AMOUNT DUE OUR OFFICE IS SUBJECT TO CHANGE.
After 30 days following the date of service if we have not received payment from the insurance company, as a courtesy to you we will re-file your claim. If we have still not received payment from your insurance company after 60 days from the date of service, the claim will be closed, and you will be billed for any outstanding balance. We would advise you to contact your insurance company to discuss any problem you have with your coverage. We will be happy to assist you by providing any necessary information to help you be reimbursed by the insurance company.
While an insurance claim is pending, any statements you receive will not include amounts for those outstanding claims. Once a claim is closed; any remaining balance from that claim will then appear on subsequent statements aged from the time the claim is closed.
ACCOUNTS THAT ARE 90 DAYS AND OLDER WILL BE SUBJECT TO A $2.00 BILLING CHARGE EACH MONTH THE ACCOUNT REMAINS 90 DAYS PAST DUE.
Patients Without Insurance
Payment is due at the time of service and is collected at check in. Payments may be made by cash, check (For established Patients only), VISA, MasterCard, American Express, Discover or CareCredit.