Faiz Healing Financial and Missed Appointments Policy
Faiz healing requires all fees, including insurance co-pays, be due at the time of service.
Health Insurance and Motor Vehicle Insurance patients are responsible for the reimbursement of any fees not covered by their insurance carrier and will be billed the difference of the insurance fee claimed up to $100.00 per hour of service. To be fair, any insurance program subject to a percent discount off of services will be deducted from the insurance fee price of $100.00 per hour. Please note due to the processing time of claims for payment Faiz Healing is not able to guarantee benefit maximums will not be exceeded. It is the patients responsibility to maintain awareness of benefit usage and pay the difference for treatments rendered that are not covered by their insurance plan.
Patients are required to give cancellation notice within 24 hours of their appointment time. Failure to call within the proper amount of time will result in forfeiting the full price of the scheduled appointment. Patients who No Show or Cancel their appointments with less than 24 hr notice, more than twice, will be required to pay a deposit in advance to hold their appointments.
Thank you for your understanding. Faiz Healing strives to accommodate many patients in the community and will continue to be of the utmost service with respect to everyone.
~~Notice of Privacy Policies ~~
Our office is dedicated to providing service with respect for human dignity. Protecting your privacy and healthcare information is fundamental in the course of our relationship.
Faiz gathers personal and health information through patient correspondence, from other health care providers, and from third party payers. This information is used for treatment, payment, and health care operations. You may specifically authorize us to use protected health information for any purpose or to disclose our health information by submitting an authorization in writing. Please allow 30 days for release of information based on the date your request is received. Faiz maintains the right to charge a fee of no more than $25.00 for the cost of printing and copying information to be released to a third party at your request. This fee will be due upon the date of written request.
As required by law this office may use or disclose your protected health information when a subpoena is received for release of information for review-
Faiz may discolose your protected health information to appropriate authorities if it is believed that you may be a possible victim of abuse, domestic violence, neglect, or other crimes.
Faiz may disclose your protected health information if we believe that the disclosure is necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
Faiz may disclose your protected health information to friends or family in the event of emergency to the extent necessary to help with your health care or with payment of your health care.
You have the right to request that this office place additional restrictions on disclosure of your Protected Health Information, as well as, restriction regarding phone messages relevant to services being rendered to you, the patient.