Dear Patient,
The purpose of this document is to help you understand your responsibilities regarding your insurance coverage, eligibility and payment responsibilities.
It has been identified that you have insurance that Alliance Obstetrics & Gynecology is considered out-of-network with. At this time, Alliance does not "accept assignment" with your plan, which means that there may be a difference between what your insurance will cover and the cost of our services. Please be advised that you will be responsible for any balance due over the allowed amount processed by your insurance.