Methods of Payment
We accept Visa and MasterCard with automatic payment on the date of sessions. We may accept personal checks by special arrangement only. New patients will be charged for the first session of a consultation when the appointment is initially set up. All other visits are charged for either on the day of the visit, or within a week of the visit.
Payment for Services:
In order to maintain your account in good standing we ask that you note:
All charges are due at the time of service.
You will receive a statement each month. The statement will include diagnostic codes and can be used by the patient to submit to insurance for reimbursement.
GPS does not accept private insurance and will not collect your claim or negotiate a settlement on a disputed claim.
After 90 days, if no payments have been received and no extended payment arrangements have been made, necessary collection proceedings will begin.
It is important that you notify us of any changes of address promptly since undeliverable statements may be turned over to collection agencies.
GPS charges 10% on overdue balances to help defray the cost of collecting on these balances. The interest is calculated on the first of each calendar month.
There is a $25 banking fee for all returned checks. If your check is returned from the bank, we will not accept a check as payment on your account. Future payments must be made with cash, money order or credit card.
There is $25 fee whenever credit card information is provided and later denied due to insufficient credit (balance) on card information submitted on statements or over the phone.
Third Party Payer
If a third party accepts financial responsibility for your treatment at GPS, he or she must have a signed Third Party Payer form on file at GPS. Third party payers must pay by the automatic credit card method or pre-pay monthly. You are also responsible for the cost of treatment if the third party does not pay.
If you cancel with less than seven days’ notice, you can expect to be charged. We will attempt to fill the cancelled appointment, if possible, so please give us as much notice as possible. A final decision about charging for a late canceled appointment is made by the clinician.