Financial Policy

Thank you for choosing us as your health care provider! We are committed to excellent patient care. The following is an explanation of our Financial Policy and Agreement, which you must read and sign prior to any current and future medical evaluations at High Desert Neurology. All patients must also complete the information and insurance form prior to seeing a provider.

• Each patient (in the case of a minor Parent or Legal Guardian) is responsible for his or her own bill.

• Payment of all insurance copayments and deductibles are required at the time medical services are rendered. If this is not financially possible you will need to make payment arrangements with our billing office prior to any medical evaluation or treatment. We accept cash, check, and most major credit cards.

• Patients who have no insurance are required to pay 100% of services rendered at each visit. If this is not possible you will need to make payment arrangements with our billing office prior to any medical evaluation or treatment. We accept cash, check, and most major credit cards.

policy is a contract between you and your insurance company. We are not a party to that contract. As a courtesy this office will submit bills to your insurance carrier. In order to facilitate claims processing you must provide all insurance policy information and changes to our office. Your bill is your responsibility whether your insurance company pays or not. At times you may need to contact your insurance carrier regarding slow or non-payments of your insurance claims.

• You are responsible for knowing what your insurance covers and the providers and network(s) covered under your health insurance plan. Any services provided, but not covered by your insurance company will be your responsibility to pay.

• If your insurance company has not paid your account within 90 days you must pay the outstanding balance without further delay.

• Monthly payments are required on all accounts with outstanding balance. A monthly finance charge of 1 ¾% per month (21% annual rate) maybe charged the amount not paid after 90 days, with a minimum charge of $.50 per month. By signing below, you agree to pay collection costs up to 40% with or without suit and/or reasonable attorney fees on any delinquent balance, if referred to any agency or attorney for collection or suit.

• A $30 fee will be charged on all returned checks

• Patients who fail to appear for their scheduled appointments may be charged a fee of $50, unless the patient cancels the appointment at least 24 hours prior to the scheduled appointment time.

Usual and Customary Rates:

Our rates for medical services reflect the usual and customary rates in the community. Unless we have accepted an alternate fee schedule from your insurance you are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates for medical services.