Patient Financial Policy

1.  Thank you for choosing Provident ENT, LLC.  We are committed to the sccessful treatment of your condition.  Payment of your bill and a clear understnding of our financial policy are important to our professional relationship.  Payment is due at the time of service, or you may be asked to reschedule your appointment.  We will file your insurance as a courtesy to you.  This requires that you provide us with accurate insurance information.  If payment is not received from your insurance carrier within our contract limits, any balance is your responsiblity.  We accept cash, check, and major credit and debit cards.

2.  If your insurance requires written authorization for referral to a specialist, you must bring that with you to your visit or verify that we have it on file.  Otherwise, your visit may need to be rescheduled.

3.  We file your secondary insurance, also as a courtesy to you.

4.  If this is a liability claim, payment of the account is the responsiblility of the individual who has received the treatment and is due at the time of the visit.

5.  Patients without insurance coverage will be requrired to pay in full a the time of service, minus our 25% discount for same day payment.  If other arrangements are made to make your payments over time, this discount does not apply.

6.  If you have a past due balance with us, this balance must be paid in full prior to scheduling an appointment.

7.  If your account becomes past due, additional fees may be added as late fees or collection fees.

8.  There is a $25.00 service charge for all returned checks. 

9.  Failure to cancel any appointment prior to the day of appointment may result in a $25.00 charge.