We appreciate the confidence that you have expressed in selecting Barbara Rosa Martinez M.D. LLC for your healthcare needsdand we look forward to working with you. If you have any questions about our services, fees or othe raspects of your care please feel free to discuss your concerns with us.
A payment for your office visit is required at the time of service for:
- Patients without insurance.
- Patients with private insurance.
- Patients who are not covered by one of our contracted insurance plans.
- Patients who do not provide us with contracted insurance information.
(We must have a copy of your current insurance card on file.)
ALL MONIES OWED BY THE PATIENT: CO-PAYMENTS, DEDUCTIBLES, AND NON-COVERED SERVICES ARE PAYABLE AT THE TIME OF SERVICE.
Any service that is rendered by this office that is not a covered benefit of our insurance policy is your responsibility to pay.
Our staff will assist you in dealing with your insurance company, but it is your responsibility to know and understand your own insruance policy. It is our sincere hope that this policy will be helpful and reduce any confusion or misunderstanding at a later date.
24 HOURS ADVANCE NOTICE IS REQUIRED FOR CANCELLATIONS. CALL 954-367-3157. A FEE OF $25.00 MAY BE CHARGED FOR FAILURE TO TIMELY CANCEL AN APPOINTMENT. I WILL PAY TODAY AND FUTURE CHARGES BY CASH, CHECK, OR CREDIT CARD.
I understand the above policy and acknowledge that I am financially responsible for services rendered.