Our financial policies are in place to help us provide efficient health care services at a reasonable cost. Therefore, it is necessary for us to have a Financial Policy and Disclosure Statement detailing our requirements for payment for services provided to patients.
Patients are responsible for the payment of all services provided by Best Life Wellness, LLC and its associates.
To help in this policy, we ask that you assist us by:
Providing us with current and updated information on yourself and your insurance
Presenting an updated photo identification card and insurance card when changes are made.
Making the appropriate payment at the time of service, whether it is a deductible, copay, coinsurance, or for the full amount if you are a self-pay patient.
Best Life Wellness LLC accepts payments by credit card, debit card, check, and cash. There will be a charge a $25 fee for each check returned by our bank for non-sufficient funds. As a courtesy, we will attempt to submit a check to our bank one additional time should the check be returned from the initial deposit.
If you are a self-pay patient, you will be required to pay for the cost of the office visit before services are rendered. Payment for any charges accrued during the visit (e.g. laboratory testing, medication administration, etc.) will be collected at check-out.
If you wish to use medical insurance for your visit, it is our policy to file for insurance as a courtesy to you if we have accurate and complete insurance information. Deductibles, co-payments, and coinsurance will be collected before services are rendered. If a service is provided that is not covered by your insurance company, you will be the responsible for payment at the time of service or upon denial of coverage by your insurance carrier. If we have not received a payment from your insurance company within thirty (30) days, you may be responsible for the balance due. In special cases, we may need your help in contacting your insurance company for the payment of your services.
Workers Compensation Policy
If you are a workers compensation patient, it is our policy to bill your employer or the worker's compensation carrier for services rendered. It will be your responsibility to contact us with the name and address of your employer or the insurance company that covers your employer.
If you are covered under worker's compensation, we will accept the payments by the worker's compensation carrier per contracted rates based on the mandated state fee schedule.
If payment is denied from your worker's compensation carrier, you will become responsible for the entire balance of services. Payment will be due within ten (10) days following any worker's compensation payment denial.
Overdue and Credit Balances
All overdue patient balances will be sent to collections. All accounts sent to collections will be charged a $25 collection fee in addition to the account balance. Credit balances under $15 aged over 60 days may be written off.
Divorce, Separation, or Custody Agreement
The parent or guardian who accompanies a child into our office will be held financially responsible at the time of service, regardless of policyholder for any billed insurance. Best Life Wellness, LLC has no authority to enforce compliance or to act as a mediator between the parties when there are provisions in a divorce or custody decree.
Forms requiring completion by a healthcare provider (i.e. FMLA, life insurance, DMV, etc.) will be subject to a $25 service fee or $20 per form when multiple forms submitted together. Payment is required prior to the completion of any form. We cannot complete forms requiring medical information or medical decision-making if it has been more than 30 days since your last appointment; exceptions may be made on a case-by-case basis. Please allow at least 5-10 business days for us to complete the forms. This does not apply to forms required for the following appointment types when the forms are completed during the visit: DOT physicals, sports physicals, employment examinations; school or job specific forms given to the provider after the visit may be subject to the abovementioned fee(s).
We understand that scheduling conflicts or unexpected circumstances requiring your immediate attention may occur from time to time. If you find yourself in this situation, please call to reschedule or cancel your appointment. While we prefer 24 hours notice, same-day cancellations will be honored. If you miss your appointment and you did not notify the office prior to the start of your appointment, you will be billed $25 for a new patient appointment and $10 for established patient appointments.
Some services require that specimens be sent to a laboratory for processing. We currently use LabCorp for our laboratory services. The patient may receive a separate bill from the laboratory. The patient is responsible for payment for all laboratory services not covered by insurance. Please let your provider know if your insurance required the use of a certain laboratory for coverage to be effective to avoid any unexpected charges.