Office Policy & Financial Agreement

Office Financial Policy

Blyss Chiropractic and our independent contractors are committed to providing quality, affordable care. The following outlines patient and insurance responsibilities for services rendered.

1. Insurance. We participate in most insurance plans. If you are not insured by a plan we are contracted with, payment in full is expected at each visit. If you are insured by a plan we are contracted with but do not have an up-to-date insurance card, payment in full is required until we can verify coverage. Knowing your benefits is your responsibility—please contact your insurer with any coverage questions.
2. Time of Service Discount. Offered to patients with high deductibles, no insurance, or those who prefer to self-pay. Payment is due in full at time of service. We will not bill insurance, nor retro-bill, once a Time of Service discount is applied.
3. Co-Payments & Deductibles. All co-pays and deductibles must be paid at time of service. This is part of your contract with your insurer. Failure to collect can be considered fraud—please help us comply by paying at each visit.
4. Non-Covered Services. Some services you receive may be non-covered or not deemed reasonable/necessary by your insurer. You must pay in full for such services at the time of the visit.
5. Proof of Insurance. All patients must complete our information forms before seeing the doctor. We must obtain a copy of your current photo ID and valid insurance card. Failure to provide correct insurance information in a timely manner may make you responsible for the full balance of the claim.
6. Claims Submission. We submit claims and assist you in reasonable ways to help get claims paid. Your insurer may require information directly from you—it is your responsibility to comply. The balance of your claim is your responsibility whether or not your insurer pays; your benefits are a contract between you and your insurer.
7. Coverage Changes. If your insurance changes, please notify us before your next visit to help you receive maximum benefits. If your insurer does not pay within 90 days, the balance will be billed to you.
8. Nonpayment. If your account is over 90 days past due, you will receive a letter giving 20 days to pay in full. Partial payments are not accepted unless otherwise negotiated. Unpaid balances may be referred to collections, and you and your immediate family members may be discharged from the practice. If discharged, you will be notified by regular and certified mail and given 30 days to find alternative care; during that period, our providers remain available for emergencies and coordination of records upon request.
9. Appointments. A $50 deposit is charged for all new patients and for a second missed appointment not canceled at least 24 hours in advance. These charges are your responsibility and are collected upon scheduling or billed to you directly. Please keep scheduled appointments or cancel/reschedule in a timely manner. Independent contractors may have different missed-appointment charges.

Our practice is committed to providing the best treatment to our patients. Thank you for understanding our payment policy. Please let us know if you have any questions or concerns.