Natural Life Chiropractic
Lisa Orwick D.C.
Our office strives to serve you in the best way
possible. In order to prevent confusion
and to inform our patients of their choices, we have developed the following
policies and explanations concerning financial arrangements.
As a courtesy to you, our office will bill your
Insurance Company and wait for their payment on your account. As you know, the health industry is changing
everyday and they are looking for every possible way to cut their costs. The filing and follow-up process costs us
time and money and does not remove you from the following responsibilities: 1)
Knowing what your insurance covers and what it does not. You will be given a copy of the Verification
of Benefits form upon your 1st or 2nd visit. 2) Knowing the amount of your deductible and
co-pay (which applies after the deductible has been met). Please remember most deductibles start over
every year. 3) Read your Explanation of
Benefits (EOB) so that you are aware of what is not being paid.
You are responsible for all charges that your
insurance company does not pay within 90 days of their denial for payment.
We offer several therapies to enhance your chiropractic experience:
interferential, therapeutic exercises, cold laser therapy, ultra sound, flexion
distraction, massager, trigger-point therapy.
It is impossible for us to determine, at time of treatment, what your
insurance company will pay. We will not
know until an EOB is received, at which time you will be informed and be
responsible for denied portions.
Dr. Orwick’s office is one of the rare medical practices committed to
respecting your busy schedule. To
maintain our high standard of care, patients are scheduled in 20 minute
intervals and we are dedicated to running on time. Our check-in requirement is to arrive 10
minutes prior to your appointment to complete paperwork, use the restroom, and
relax in order to experience the maximum benefits from your treatment.
We understand last minute changes like traffic or other obstacles occur
and can result in running late for your scheduled appointment time. In the event you are running late, please
call the office immediately. Our
schedule is consistently full; however, IF we are able to fit you in we will be
glad to do so to ensure consistency in your treatment. Please
note there may be a $20 late charge for rescheduling same day appointments.
Please see the following examples:
NO FEE - Your appointment is scheduled for 10:00am, you call to say you are
running late and you arrive at 10:10.
You still have 10 minutes remaining of your original appointment time
and we will be glad to offer an abbreviated appointment for treatment with no
late charge fee.
LATE FEE $20 - Your appointment is scheduled for 10:00am, you call and
notify us you are running late but are unable to get here prior to 10:20am (the
conclusion of your appointment time). We
MAY be able to accommodate you between existing patients; however, you may
receive an abbreviated appointment and you will incur a $20 same day
rescheduling fee. If we are unable to
accommodate you the same day, the cancellation policy will apply.
SAME-DAY RESCHEDULING FEE $20 - Your appointment is scheduled for
10:00am, you call before 10:20 and notify us you will be unable to make your
scheduled appointment time. If we have
an available 20 appointment time available later the same day, we will be happy
to reschedule you to receive a full 20 minute appointment. However; this option
monopolizes multiple appointment times
and a rescheduling fee of $20 will be incurred.
If we are unable to accommodate you the same day, the cancellation
policy will apply.
Please note that your account must be current including any late or
cancellation fees prior to receiving treatment.
We are committed to your health, providing care at the time you have
scheduled, and ensuring your positive patient experience. We understand there can be changes in your
schedule and we are happy to change your appointment time with a minimum of 24 hours notice.
within 24 hours of your scheduled appointment or a missed appointment will
result in a $50.00 charge to your account. All fees must be
paid in full prior to receiving treatment.
If you have any questions regarding your bill, our charges, or this
financial agreement, please feel free to contact us at any time. We will be glad to explain in detail any
question that you may have.
I have read and agree to the above