SymplConsult formerly OrthoCalc Orthodontic Financial Agreement free printable template
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This document outlines the financial obligations associated with orthodontic treatment, including payment structure, treatment fees, and additional fees for services.
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How to fill out invisalign financial agreement form
How to fill out SymplConsult (formerly OrthoCalc) Orthodontic Financial Agreement
01
Begin by entering the patient's personal information, including their name and contact details.
02
Provide the details of the orthodontic treatment plan, including the types of services offered.
03
Outline the total cost of the treatment, including any additional fees or expenses.
04
Specify the payment options available, such as full payment, installments, or financing options.
05
Include information on any discounts for upfront payments or insurance coverage.
06
Clearly state the terms and conditions associated with the agreement, including cancellations and refunds.
07
Ensure all parties sign and date the agreement to confirm their acceptance.
Who needs SymplConsult (formerly OrthoCalc) Orthodontic Financial Agreement?
01
Patients seeking orthodontic treatment to outline financial responsibilities.
02
Orthodontic practices needing a structured payment agreement with clients.
03
Insurance companies requiring detailed treatment cost breakdowns.
04
Patients who wish to manage their payment plans effectively.
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Is Invisalign covered by insurance in Canada?
With most companies, coverage for orthodontic treatment is typically a separate benefit under dental insurance. ing to the Canadian Association of Orthodontists (CAO), coverage for orthodontic treatment such as Invisalign, is often reimbursed at 50%, up to a maximum dollar amount.
What is the difference between Invisalign Express and comprehensive?
Invisalign Express includes one set of refinement aligners, and Invisalign Lite includes two. For extra peace of mind, Invisalign Comprehensive includes unlimited sets of refinement aligners within five years of starting your treatment.
Can Invisalign be paid monthly?
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How long does Invisalign Express last?
Invisalign Express is a treatment designed with seven aligners, changed every 2 or 3 weeks. The entire treatment is expected to last up to 9 months.
What is Invisalign Express?
Invisalign Express is an orthodontic treatment with clear aligners, designed for people with a minor teeth misalignment or a tiny gap you'd like closing. In most cases, Invisalign Express is recommended for patients who have undergone brace treatment but the teeth have moved again due to a lost or broken retainer.
What is the difference between Invisalign go and Invisalign Express?
As its name implies, Invisalign Express has a shorter treatment time (because the problem addressed is limited). Whereas a traditional Invisalign treatment can require 25 or more aligner sets, Invisalign Express consists of a series of either five or 10 aligner sets that are switched out approximately every two weeks.
What is included in Invisalign Express?
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What is SymplConsult (formerly OrthoCalc) Orthodontic Financial Agreement?
SymplConsult is a financial management tool designed for orthodontic practices to streamline the financial agreements made between orthodontists and patients regarding treatment payments.
Who is required to file SymplConsult (formerly OrthoCalc) Orthodontic Financial Agreement?
Orthodontic practices utilizing the SymplConsult system are required to file the financial agreement for each patient who undergoes treatment.
How to fill out SymplConsult (formerly OrthoCalc) Orthodontic Financial Agreement?
To fill out the agreement, practitioners must input patient information, treatment costs, payment plans, and terms. Follow the online prompts in the SymplConsult platform to ensure accurate completion.
What is the purpose of SymplConsult (formerly OrthoCalc) Orthodontic Financial Agreement?
The purpose is to provide a clear, structured payment plan for orthodontic treatments, ensuring patients understand their financial responsibilities and helping practices manage their billing more effectively.
What information must be reported on SymplConsult (formerly OrthoCalc) Orthodontic Financial Agreement?
The agreement must report patient details, treatment type, total treatment cost, payment schedule, and any interest or fees associated with financing options.
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