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dr. jennifer palmer
IOWA DERMATOLOGY'S FINANCIAL POLICY
We are dedicated to providing the best possible dermatologic care for you, and we want you to completely understand our financial policies.
1. Payment is due at the time of service unless arrangements have been made in advance by you or with your insurance carrier. For your convenience, we do accept Visa and MasterCard credit cards for payments.

2. Your insurance policy is basically a contract between you and your insurance company. As a service to you, we will file your insurance claim if you assign the benefits to the doctor—in other words, if you agree to have your insurance company pay the doctor directly. If your insurance company does not pay the practice within a reasonable period, you are ultimately still responsible for payment in full. If we later receive a check from your insurer, we will refund any overpayment to you.

3. We have made prior arrangements with many insurance companies and other health plans to accept an assignment of benefits. Iowa Dermatology will submit claims to your insurance carrier, but you may be required to pay a co-payment, co-insurance or a deductible payment at the time of your visit, depending on your insurance plan.

4. If you are insured by a plan that we do not have a prior arrangement with, we may prepare and send the insurance claim in for you on an unassigned basis for your convenience. This means the insurer will send the payment directly to you. Therefore, our charges for your care are due from you at the time of service.

5. Not all insurance plans cover all services. In the event your insurance plan determines a service to be “not covered,” you will be responsible for the complete charge for that service. Payment in full is due within two weeks upon receipt of a statement from our office.

6. We will bill your insurance company for all services provided in the hospital. You are responsible for any balance due.

7. Failure to provide 24 hours notice of a cancelled appointment may result in financial penalty being imposed on future missed appointments. A deposit will be required before future appointments are scheduled. Missed appointments will result in a debit on the deposit.

8. Failure to meet your financial obligations within a reasonable period of time will result in your termination as a patient and your account will be forwarded on to a certified collection agency.

9. The practice’s financial policy is not flexible and by attending an appointment with the doctor, you agree to be bound by its terms.
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Copyright © Iowa Dermatology, Inc.
Phone (641) 620-9119 | Fax (641) 613-1305
2605 Washington Street | Pella, Iowa 50219
billing@iowaderm.com
Monday - Thursday open 7:00 am - 3:30 pm
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