1 Hospital Drive SW, Suite 300 Huntsville, AL 35801
Phone: 256-881-2700 Fax: 256-429-9109
We are dedicated to providing the best possible care for you, and we want you to completely understand our practice policies.
1. Payment is due at the time of service. We accept, Cash, Discover, MasterCard, and Visa. If you are not able to pay your co-pay at the time of your visit, we will ask that you reschedule your appointment until you are
2. The patient is responsible for all incurred charges. We will file a claim with your insurance company as a courtesy; however it is the patient's responsibility to provide us with accurate and complete insurance information by presenting their insurance card at the time of each visit. Failure to do so will result in the patient incurring the total expense for their care. 3. Your insurance policy is a contract between you and your insurance company. As a service to you, we will file your insurance claim if you assign the benefits to the doctor. This means that you agree to have your insurance company pay the doctor directly. If your insurance company does not pay the practice within a reasonable period, we will contact you for payment. Any overpayment subsequently made by your insurer will be refunded to you. 4. We have made prior arrangements with many insurance companies and other health plans to accept an assignment of benefits. We will bill them, and you are required to pay a copayment at the time of your visit. If you are insured by a plan with which we do not have a prior arrangement, we will prepare and send the claim for you on an unassigned basis. This means the insurer will send the payment directly to you. Therefore, our charges for your care are due at the time of service. 5. Not all insurance plans cover all services. In the event your insurance plan determines a service to be "not covered," you will be responsible for the complete charge. Payment is due upon receipt of a statement from our office. The patient is responsible for making sure they know what benefits are included under their insurance plan, as well as making sure they are following all the regulations put forth in the plan benefits provided to them by their insurance company. Any out of network fees assessed by the insurance company will become the responsibility of the patient. 6. Patients are expected to make our office aware of any changes in insurance, mailing address and phone number. 7. Any unpaid balance is due prior to being seen by our physicians. 8. If there is an outstanding balance existing for more than 90 days, it will be placed with an outside collection agency. The patient will be responsible for any collection fees, costs, and interest and/or attorney fees in addition to the unpaid balance. 9. If required by insurance, patients are required to provide Diabetes and Endocrine Wellness Center, LLC with a valid referral from their PCP prior to their visit. If a referral is not obtained by the patient or provided by the PCP prior to the patient's visit, the appointment will be rescheduled to another day. 10. There is a fee for forms to be completed by your provider. Forms may take up to 10 days to complete.
Diabetes and Endocrine Wellness Center, LLC Patient Policies (rev: March 2018)