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Payment Options
Payment is due at time of service. Any outstanding balance will be requested during patient check-in. If you are a new patient with no insurance or have an insurance we do not bill, you will be required to pay in full at the time of service. If you are unable to pay at time of service, you must put down a deposit of half of the total bill for that day’s services, with the balance to be paid in 30 days.
You can also pay online by logging on to mySFM and click on the myAccount button to pay your bill.
We accept all major credit cards, including:
American Express
Discover / Novus
Mastercard
Visa
Discounts
If you have no insurance, you may participate in Simple Care, a
discounted medical program. For more information, visit
www.simplecare.com. All fees for your visit must be paid at time
of service. We will scan drivers licenses into the computer for all
patients who are being seen with no insurance or Simple Care.
Patients must leave a minimum deposit of $50 either cash, check or
credit / debit before going back to see a doctor. Available funds will
be verified. If a Simple Care patient’s check is returned for
non-sufficient funds (NSF), we then delete the discount, charge full
amount, and bill for the NSF fee.
Co-pays
Co-payments are a part of your contract with your
insurance carrier and are due at time of service. We will collect your
co-payment at office check-in. If you are not prepared to pay your
co-pay, we may be required to reschedule your visit with the doctor.
Insurance
Your policy is a contract between you and your
insurance carrier. Please review and understand your insurance benefits.
Do not assume your policy automatically covers everything. Ask
questions. Even different policies from the same insurance company may
have different requirements. It is your responsibility to know what your
policy covers and what it does not.
Always carry your insurance card with you. You may need it in case of an emergency and we need it for verification at all office visits. Without this information, we may have to reschedule your appointment or you may have to pay at time of service.
Your health plan mandates that you are financially responsible for payment of all co-pays, deductibles, and non-covered services. Sound Family Medicine is contractually obliged to collect these fees. Please do not request that we adjust these from your account.
L & I and Self Insured Companies
We accept Labor and Industry claims for existing
patients. You should carry your L&I claim number with you at all times.
This number must be presented to the receptionist at the time of your
arrival.
Please bring your SIF-2 form from your employer to your appointment (if
self-insured). We have the forms for all state-insured companies. If you
are unsure, ask your employer. It will be necessary for you to fill out an
accident report if you arrive without a self-insured claim form.
Motor Vehicle Accidents
If you have Personal Injury Protection coverage
(PIP), we will bill your insurance.
Sound Family Medicine does not bill motor vehicle insurance for third parties. These payments are due at time of service.
Past Due Balances
Payment arrangements for past due balances can be
made with the collections department. If payment is not made, your account
will be turned over to a professional collection agency. At that time, you
and your family may be discharged from Sound Family Medicine.
Non-Sufficient Funds (NSF) Checks
If a check is returned because of non-sufficient
funds, there will be a $25 NSF charge applied, plus the amount of the
check. If a Simple Care patient’s check is returned for non-sufficient
funds (NSF), we then delete the discount, charge full amount, and bill for
the NSF fee.
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©2007 SOUND FAMILY MEDICINE | LAST UPDATED: 01/14/2008