Enrollment
Service for Physician Business Solutions
HealthePay
Program
Payment is due
at the time of service. If a patient is unsure of their covered
benefits, Physician Business Solutions will accommodate requests
for a delay of payment until such time that Physician Business
Solutions sends the claim to the insurance company and receives
an explanation of benefits, so long as the patient or their
guarantor, agrees to enroll in our HealthePay
Program. The patient or their guarantor must provide a current
credit card and agree to allow Physician Business Solutions
to charge that card for all charges deemed to be the patients
responsibility. This includes payment in full for the visit
if the insurance card information is invalid or not current.
All credit card
information is kept on a secure server in compliance with
Federal Privacy and Security Standards. By enrolling in this
program, you agree to receive email confirmation of your enrollment
in the Physician Business Solutions HealthePay
Program. You also agree to an email confirmation when your
credit card is charged. The information that may be sent will
be the date of service and total fees due. There will be no
diagnosis codes or visit details on that receipt but are available
by request. This is to maintain the confidentiality of you
or your family members health information.
By submitting
the below information you are authorizing us to charge your
credit card for future balances not paid by your insurance
company.
(View User
Agreement)
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