PAYMENT/INSURANCE AGREEMENT:

We, the Doctors and Staff, welcome you to our office.  We want you to be comfortable and satisfied with our office and services and if there is anything we need to do to make it so, we will welcome your input.

The following are a few of our office policies that we feel need to be mentioned:

Our office schedule is designed to allow us to operate at maximum efficiency while keeping your wait to a minimum, preferably with no wait at all.  The worst disruption to the schedule comes when a patient fails to show up or is late for their appointment.

  As we try not to over book our schedule, this “NO SHOW” literally leaves us with nothing to do.  Therefore, there will be a fee of up to $100.00.

 We also request, a 48-hours notice to cancel or reschedule an appointment.  There will be a charge for appointments canceled or rescheduled without 48-hours notice.

 

Need Financing?

Nola Dental Studio recommends Care Credit

Go to CareCredit.com

Click to visit the Care Credit website

Please remember the appointment time is reserved for you. We will attempt to remind you of your reservation by text message and email you provide to us. We do this as a courtesy and we will make every effort to confirm the appointment.  However, it is the patients’ responsibility to keep the appointment even if we are unable to contact you.

Payments are due in full on the day of service.  We offer several payment methods such as cash, local personal checks, most major credit cards. Extended payment arrangements are available through Care Credit.

If you desire to use the Care Credit services, our Financial Care Coordinator can assist you with the pre-approval process. Please call our office in advance of your scheduled appointment and we will be happy to assist you.

Returned checks will incur a $100 .00 fee and recovery of any unpaid balance will be recovered using the full extent of the law.

It is the patients’ responsibility for any unpaid balances regardless of your insurance coverage.  Insurance companies are numerous with varied benefits and various levels of coverage.   Your policy is a contract between you and your insurance company.  We will attempt to estimate your portion but please remember that this is only an estimate and the actual amount will vary depending on your deductible being met and whether your insurer accepts our fees as “Usual and Customary (UCR)”.  Remember, it is your insurer who decides what the “Usual and Customary” fee is and it is in their best interest to keep the UCR low.

Our office will always provide a metal-free, tooth-colored restoration. Most insurance companies will only pay for the lesser metal based restoration. The difference is the patients' responsibility.

If you have multiple plans, we will file them all for you as a courtesy, but payment will be expected at the time of service based on your PRIMARY PLAN benefits.  Any credit due you will be issued promptly at your request once secondary claim has cleared.

 

 

If you have a DISCOUNTED FEE PLAN, payment in full is due the day services are rendered, otherwise you will be charged and responsible for the full fee.

If your coverage lapses or if you no longer participate as a member of a plan, you will be charged our regular fees. If after all claims are paid and there is a balance or if there is a balance for any other reason, you will have 60 days to pay the amount due.  If your account is not paid in the allotted time, it will be turned over to our Collection Agency.  Please note that in addition to your balance, any fees associated with collecting your balance will be your responsibility.

New: Online Patient Management Features!

We are happy to announce that new and existing patients can save time by performing account administration online.

 

  • Request Appointments
  • Complete New Patient Screening and Forms
  • Manage Personal Information
  • Make Payments

 

Click here now, to go to our new Patient Management page.

NOLA Dental Studio | Rebecca Blum, D.D.S.| 3645 Williams Blvd.#103, Kenner, LA 70065 | (504) 443-5882