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Date Provider Patient Lancaster Orthopedic GroupFinancial Policy I understand that payment for services is due at the time services are rendered. Any outstanding balances are due within 30 days, unless
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How to fill out lancaster orthopedic group-financial policy
How to fill out lancaster orthopedic group-financial policy
01
To fill out the Lancaster Orthopedic Group-Financial Policy, follow these steps:
02
Obtain a copy of the policy from the Lancaster Orthopedic Group office or website.
03
Read the policy carefully to understand the guidelines and requirements.
04
Fill in your personal information accurately, including your name, address, phone number, and email.
05
Provide your insurance details, including the name of the insurance company, policy number, and group number.
06
Sign and date the form to acknowledge that you have read and understood the financial policy.
07
Return the completed form to the Lancaster Orthopedic Group office in person or by mail.
08
Keep a copy of the filled-out policy for your records.
Who needs lancaster orthopedic group-financial policy?
01
Anyone who seeks medical services from the Lancaster Orthopedic Group needs to complete the financial policy.
02
This policy is required for both new patients and existing patients who receive orthopedic treatment or services.
03
It helps ensure that patients understand the financial obligations, insurance coverage, and payment responsibilities for the services provided by the Lancaster Orthopedic Group.
04
By completing the financial policy, patients can effectively communicate and comply with the group's billing and payment procedures.
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