

8011 Robin Hill Rd.
Box #206
Newburgh, IN47629
812.853.2977
1.800.557.8458

Financial
Fees
and PaymentsUnless otherwise previously arranged, payment is expected as services are performed. When treatment is required, you will be given an estimate and will be asked to make definite financial arrangements with a member of our business office staff. This will lessen confusion and provide better understanding. Payment is considered deliniquent after 30 days regardless of Insurance coverage.
Insurance
Our computer system greatly simplifies preparation of insurance claims
for you. We use the American Dental Association universal claim form and
also file claims electronically. Simply bring your specific insurance
form with your portion completed and signed by the appropriate parent.
One form is needed per child. We will then keep this form for additional
claims. If you change insurance companies, please inform the business
office staff and bring a new claim form. Appropriate insurance cards will
also be sufficient. If there are two insurance companies participating
in the claim, we will file the primary insurance company only. This gives
you the necessary information to personally file with your second participating
company. We will do our best to help you receive the maximum benefits
available under your policy. However, please remember that the relationship
is between you, the insured, and your insurance company. Your financial
relationship for treatment is between you and our office. As a courtesy
to you, our office files the insurance claims with your company in order
that you obtain maximum coverage from your insurance.
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