Alpine Medical Group Financial and Office Policies

Updated 2/06/2025

  1. All patients must complete our information and insurance form before being seen. It is your responsibility to advise our office of changes in your insurance, address, and phone number. We will need a copy of your insurance card for verification.
  2. An individual seeking treatment is not considered a patient until said patient has had a visit with the provider.
  3. It is patient responsibility to verify that the provider they are scheduled to see is participating in their plan. All denials will be patient responsibility.
  4. Payment and /or copayments are due at the time of service.
  5. Balances are due within 30 days of the date of service.
  6. Insurance billing is a courtesy. We contract with insurance however insurance does not always cover 100% of services billed.
  7. Insurance does not guarantee payment and is subject to your plan’s provisions.
  8. If your account goes to collections, you will not be able to schedule an appointment until the balance has been cleared.
  9. There is a 33% fee added to all collection accounts, and you will be responsible for all attorney’s fees.
  10. 24-hour notice is required for canceling or rescheduling an appointment. If you fail to do so you may be assessed a fee for this missed appointment.
  11. Please sign the arbitration agreement.
  12. Laboratory services are a separate service from the services provided by the physician. We do not do billing for them. Please refer to the statement and phone number with questions.
  13. Specialist referrals require a minimum of 5 business days to complete. 24 hours for a STAT request by the provider.
  14. Medication refills require 72 hours to be completed. We do not refill medications on weekends or holidays, please plan accordingly. We do not prescribe Narcotics or ADHD medications.
  15. Text messaging, by signing this form you agree to send and receive text messages.

 

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