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FORMS

Credit Card Explanation

To Our Clients:

 

We have implemented a new policy for all telehealth appointments. If you have a co-pay/deductible you will be required to keep a credit card number on file. Your card will be charged the following business day of your appointment.

 

This will be an advantage to you, since you will no longer have to call to make payments or mail us checks. It will be an advantage to us as well, since it will greatly decrease the number of statements that we have to generate and send out.

 

This in no way will compromise your ability to dispute a charge or question your insurance company’s determination of payment.

 

If you have any questions about this payment method, do not hesitate to ask. This does not apply to clients currently receiving health benefits from any Medicaid or any Medicaid Managed Care plans.

 

 

Sincerely,

Cordell Associates, LL

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