Skip to content We have adopted the following financial policy to minimize confusion between our patients and the practice. If you have any questions about the policy, please discuss them with our billing manager. We are dedicated to providing you with the best possible care and services. You must understand your financial responsibilities to receive the best possible care and treatment. Unless otherwise arranged by your health coverage carrier(s) or yourself, full payment will be due at the time of service. Cash is accepted, as well as major credit and debit cards, traveler’s checks, money orders, and personal checks for your convenience.
We handle patients’ social security numbers and personal information confidentially, but we may release personal and medical information to another doctor’s office in case of a referral. We use social security numbers for billing and insurance purposes. We ask each of our patients for this information.
Fox dermatology and aesthetics covers several health insurance plans, so please verify with your insurance carrier that fox dermatology and aesthetics is a contracted provider with your insurance. We will gladly submit to most insurance carriers if you provide policy numbers, addresses, and other pertinent information. If you require a referral, the insured must obtain the referral authorization from your insurance carrier and provide that information to our billing department on the service date. Your insurance plan booklet should explain the details of your plan. You are responsible for all co-payments, co-insurance, deductibles, and any unpaid or denied services not covered by insurance. Please note that all copays, co-insurance, and deductibles will be due when services are rendered. Our office’s policy is to collect any copays, co-insurance, and balances owed before services are rendered.
We require all patients to maintain a valid debit or credit card with us. Fox dermatology & aesthetics’ policy is to follow all federal and state laws regarding identity theft and financial privacy. Our staff will scan your card with a card reader, storing your card number in a secure, compliant location in your electronic medical record. For security reasons, only the last four digits will be visible to our staff. After your insurance processes your claim, credit and debit cards on file will be used to pay account balances. We will charge your credit card on file if payment for the amount listed on your statement is not received within 30 days. We will contact you if your payment is declined. If we cannot reach you, we will leave you a message, and if our reminder call is not returned
Within one week, a $50 fee will be assessed, and another statement will be mailed. By signing below, I give fox dermatology & aesthetics permission to charge my credit or debit card on file for any patient balance due on my account. My credit card will be charged after my insurance has paid its portion.
Any unpaid balance will accrue a 1.5% finance charge monthly after the account has lapsed for 60 days. If any balance due hereunder is not paid as agreed, the undersigned jointly and separately agrees to pay all costs charged by the collection company. The costs will not exceed 33% of said balance, including a reasonable attorney’s fee, court costs, etc. Any balance due must be paid in full before further services are rendered.
Your check must include your name, address, home, and work phone number. There will be a fee of $50.00 for all returned checks. Late arrival: to maintain a prompt schedule for all of our patients, if you are more than 10 minutes late, don’t hesitate to contact our office, as you must reschedule your appointment. Missed appointment to provide the best possible services and availability to all of our patients, please get in touch with our office as soon as possible to cancel or reschedule your appointment. A phone call will be made with a courtesy reminder 1-2 days before your appointment. A $100.00 “no-show” fee will be applied to your account if you fail to call 24 hours before your appointment.
Under 18-year-olds must be accompanied by a parent or guardian. Appointments will be rescheduled if a parent or guardian is not present. It is essential not to leave children unattended in the waiting area. For all services rendered to minor parties, payment will be made by the adult accompanying the patient and the parent or guardian with custody.
A non-refundable deposit of $100 may be required when scheduling cosmetic appointments. The deposit will be applied to cosmetic charges when services are rendered. The deposit will not be refunded if the appointment is rescheduled or canceled within 24 hours of the original appointment.
You may need to contact the office with a question. If we cannot answer your call immediately, please provide a return phone number where you can be reached. If an emergency arises, dial 911 first.
We are on call 24 hours a day, available only for urgent issues that can’t wait for the office to open the next business day. To contact us, please call the office number.
At Fox Dermatology and Aesthetics, healthy skin is the foundation of confidence.
