Patient Financial Responsibility Policy

January 24, 2020

This platform is staffed by health care providers who are employed or engaged by the CMDPN Medical Groups listed at the end of this policy. We are committed to providing you with quality, affordable health care. We have prepared the following information to help you understand how we work together to make sure you have the information you need to meet your financial responsibilities, if any, for the care and services you receive.

Know Your Insurance Coverage
We are in-network with the insurance company whose branding appears on your version of the platform. Health insurance coverage is a contract between you and your insurance company. These contracts or policies govern what you pay for and what your insurance company pays for. If you are in a High Deductible Health Plan (HDHP) or have a Health Savings Account (HSA) you may have an out of pocket expense for our services if you have not yet met your deductible or if you have a coinsurance obligation. A deductible is the amount you pay for covered health care services before your insurance plan starts to pay. Coinsurance is the percentage of costs of a covered health care service you pay after you’ve paid your deductible. Generally, insurance companies that work with us do not impose copayments, but some may. If you’re not sure about your coverage, please ask your insurance company. You can find contact information for your insurance plan on the back of your insurance card.

We will bill your insurance plan first. If there is any remaining amount, we will send you a bill. You will ultimately be responsible for the balance on the account for any services rendered. The parent/guardian of a minor is responsible for payment of the minor’s account balance. You can pay us by personal check or credit card and instructions on how to do so will be on the invoice we send you. You authorize us or our designee to communicate by mail, cell phone numbers, landline numbers, answering machine messages, SMS text messages, e-mail or via any other contact information you provided to us or your insurer for purposes related to your account, including but not limited to billing and collections. You expressly consent to any such contact being made by the most efficient technology available, including automatic dialing/e-mailing or similar equipment, or pre-recorded or other messages.

Before we refund a credit balance or overpayment on your account, we will apply that amount to any outstanding balances for you or any dependent covered by your health care plan. We will refund you for any remaining credit balance.

Unable to Pay or Other Questions
If you are having trouble paying your bill or have any other questions or concerns, please don’t hesitate to contact us at