INSURANCE PLAN PARTICIPATION
Our office participates in most major dental insurance plans. Please have your insurance information available when calling the office to schedule your appointment so we can confirm that we are a participating provider in your dental insurance plan.
Our insurance department will submit all claims on your behalf to your insurance company.
There is, however, no relationship between our office and any insurance company and the patient is ultimately responsible for all fees incurred for their dental services.
We will, however, gladly assist you in resolving any insurance company issues that may arise in order to secure the maximum benefit allowable under your dental insurance plan.
In an effort to better serve you, we have outlined our office policies related to scheduling, fees for services, insurance submission and financing.
If it is necessary to change your reserved appointment, we request notification of at least 24 hours in advance of the appointment. We do reserve the right to charge a fee of $30.00.
Fee for services are due at the time services are rendered! For your convenience, we accept Visa, MasterCard, and Discover, cash, checks and debit cards.
Please be advised that it is your responsibility to be familiar with your dental coverage. Once the insurance payment has been applied, any remaining balance on the account is expected after your statement.
Any question regarding payments or financial arrangements should be directed to the Front Desk Staff.
Accounts that are not paid within 30 days will received a $5.00 a month billing fee until the account has been paid in full.
Account that are delinquent over 60 days will turned over to our collection agent with an additional charge of 35% of balance added to your account for collection costs.
It is understood and agreed that if an account is placed for collection you waive your rights under HIPPA to release the following information only to the collection agent: Your name, address, home, phone, work phone, Social Security number. No medical or dental information will be released to a non-practitioner.
We appreciate your cooperation in adhering to our financial policies and assure you we will continue to do our best to provide your family with optimal dental care.
Dr. Robert Moulton
Dr. Paul Modic
Dr. Julie Murphy
Refresh Dental - Wexford
9758 Perry Hwy
Wexford, PA 15090
Phone: (412) 635-9355