For patients with dental insurance that we bill, we are happy to work with your carrier to maximize your benefit and as a courtesy, we will directly bill them for reimbursement for your treatment. However, if we do not receive payment from your insurance carrier w/in 30 days, you will be responsible for payment of your treatment fees and possibly getting a collection of your benefits directly from your insurance carrier. If the account is not paid in full by 60 days from the date of service, texts, email if available, a letter, and/or possibly a call will be made before collection/court proceedings begin. A Billing Charge of $5.00 will apply to ALL statements that are sent. In the event of collection action, the debtor agrees to pay all collection cost 28%, including reasonable attorney fees or additional costs associated with efforts of collecting or obtaining this debt. As an office policy, we do require a Social Security Number (SSN) for ALL policyholders AND guarantors (Responsible Parties). The responsible party is determined by who brings the child to the first visit & signs forms. A copy of their ID will be required. NMPD is ONLY IN NETWORK with Delta Dental Premier plans and the Careington Platinum network. We participate in some BCBSM plans and some Delta PPO plans. This is dependent on your individual plan. We do bill to other insurance companies but they will be out of network & you will be responsible for anything your insurance does NOT cover.
You agree, in order for us to service our account or to collect any amount you may owe, NMPD and associated 3rd parties of NMPD may contact you by telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages or e-mails, using any e-mail address you provided to us. Methods of contact may include using pre-recorded/artificial voice messages and/or the use of an automatic dialing device, as applicable. You DO specifically consent to receive telephone calls, short messages services, text messages, or other messages made or delivered to the telephone numbers that were provided. That you acknowledge that these calls may be made or delivered using an automatic dialing system and/or an artificial or pre-recorded voice, made by the Center or its business associates for purposes of treatment, payment, and health care operations.
We are NOT responsible nor do we follow any parental agreements of percentage/or other party co-pays in separated families unless a copy of a court-documented divorce decree is provided stating the office must take those percentages. It is a responsibility and an expectation that all balances will be paid at the time of service by whoever brings them or if not paid then ultimately by the responsible party of said balance and if additional monies are needed. Any balances will default to the guarantor on the account.
No appointments will be made if there is a balance on the account for the patient or any members of their family. We are unable to accept post-dated checks. Northern Michigan Pediatric Dentistry, P.C. charges $35.00 for returned checks. You may no longer be able to use this form of payment for future visits.
**If you have any questions, please do not hesitate to ask and we will do our best to help.