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CO-PAYMENTS/DEDUCTIBLES/COINSURANCE All co-payments applicable deductibles coinsurance and will be collected at the time of service. MEDICARE PAYMENTS If you have regular Medicare part B and a secondary carrier Medi-Gap plan we will not collect any payment at the time of your visit. 17756 KATY FREEWAY STE G-1 HOUSTON TX 77094 PHONE 832-772-3330 FAX 832-772-3332 PATIENT REGISTRATION Welcome and thank you for visiting our office today My staff and I are committed to providing you with quality...
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01
Begin by accessing the patient information section on the form or electronic system.
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What is patient name - clear?
Patient name refers to the full name of the individual receiving medical care.
Who is required to file patient name - clear?
Healthcare providers and facilities are required to record and file patient names.
How to fill out patient name - clear?
Patient name should be filled out accurately and completely, including first name, middle name (if applicable), and last name.
What is the purpose of patient name - clear?
The purpose of patient name is to properly identify and document the individual receiving medical treatment.
What information must be reported on patient name - clear?
Patient name must include the full legal name of the individual, including any given names or middle names.
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