We will make a copy of your insurance card(s) at the front desk.
It is the patient’s responsibility to verify insurance benefits. We will bill the insurance as a courtesy to the patient. Without complete insurance information, we have no alternative but to send the bill to the patient. I give The Eye Institute of Wyoming, P.C. permission to bill my insurance on my behalf and assign to The Eye Institute of Wyoming, P.C. directly all insurance benefits, if any, otherwise payable to me for services rendered. I understand that I am financially responsible for all charges whether or not paid by insurance. I authorize the use of my signature on all insurance submissions. I agree to remit payment to The Eye Institute of Wyoming, P.C. in a timely manner. I understand that any unpaid balance may be turned over to an agency for collections and I will be responsible for any fees that they charge to collect the unpaid balance. If you do not wish for us to bill your insurance, or if you do not have insurance, payment in full is expected on the day of the exam (50% deposit required for optical services).