Broderman
Internal Medicine Associates-Financial Policy
Broderman Internal Medicine Associates is committed to providing you the highest level of medical care and patient
support. In order to achieve your clinical goals, it is important for you or your guardian to understand the practice
financial policy as well as your financial responsibility for your medical care.
Patient/Parent/Guardian Responsibility for Insured
Patients
- Patients
need to be familiar with their plan benefits to include: copays, coinsurance and deductibles
- Patients need to provide a copy
of their current insurance card at all office visits
- Patients need to provide all personal and employer
contact information
- Copays are expected to be paid in full at each
office visit
Payment options include: cash, check or credit card
A
balance due statement will be sent once the insurance benefit has been processed
Payment in full
is expected upon receipt of each statement
A $25.00 fee will be charged for all/any returned
checks
A $15.00 fee will be charged for any delinquent account > 30 days
Practice
Policy for Missed/Canceled Appointments
- The practice requires 24 hour notice to reschedule or cancel an appointment. The
patient/parent/guardian will incur a $30.00 charge for any missed appointments or appointments not cancelled with 24 hours’
notice
Patient Forms Processing Requests
- The practice requires 48 hours’ notice to complete any patient forms
- There is a $25 charge for any
form request completed without a scheduled appointment