We are committed to providing you with the best possible care and we are pleased to discuss our professional fees with you at any time. Your clear understanding of our financial policy is important to our professional relationship. Please ask if you have any questions about our fees, our financial policy, or your financial responsibility.

	New Patients or Patients with a change of address or insurance policy must fill out a patient information form prior to seeing the doctor.
	We will need to photocopy your insurance card(s) for your file.
	Please be prepared to pay your co-pay at each visit.
	If your plan does not require a copay and we participate, we will accept the designated fee. You are responsible for any deductible and balance your plan indicated on their explanation of benefits.
	Payment is expected at the time of service unless other financial arrangements have been made prior to your visit. Your itemized receipt should be attached to your insurance form and sent to your carrier who will reimburse you directly.
	We will submit to Medicare for the Medicare allowed amount. The patient will be responsible for the deductible and the 20% co-insurance which can be billed to secondary insurnace if you have one.
	You are responsible for the timely payment of your account.
	We accept cash, checks or credit cards.

If you have any questions regarding your insurance coverage prior to your visit, please call your insurance company and our office at 201.567.3370. You may also contact our Billing department by phone at 201.567.5306 or via e-mail to discuss any billing inquiries you may have.