Ivan L. Mazzorana

Financial Agreement & Office Policies

Scheduling
When calling the office to schedule an appointment, please be understanding that there might be a waiting period before you are seen. In an effort of alleviate the wait-time, we have a cancellation list that allows us to move your appointment up when there is an opening available. Let our scheduler know the nature of your visit and we will make every effort in expediting your appointment.

Our office requires a deposit when scheduling an appointment. This deposit is applied towards your future charges. It is fully refunded when your insurance carrier has satified the services.

 

Missed Appointments

The office requires 24-hours notice if you are unable to make your appointment. We reserve the right to charge you as such. So, we kindly request that you give advanced notice to avoid being charged.

 

No Insurance

Patients with no insurance coverage, our office requires full payment at the time of the office visit.

 

Commercial Insurances

If you are enrolled in a commercial insurance plan, as a courtesy our office will submit a claim on your behalf. In oder to be succesful in the claims submission process, we must have accurate information. Should your insurance change, please notify the office immediately.

 

Medicare  Recipients

Our office will submit a claim to Medicare, as well as any secondary insurance. It is your responsibility to provide the office with the necessary information in order to submit a successful claim. If you do not have a secondary insurance, please be advised that you are responsible for the Medicare difference at the time of your visit. 

 

Co-pays & Deductibles

All co-payments and deductibles are due at the time of the visit. There will be an additional $15 processing charge if the balance is not satisfied.

 

Payment Methods

Our office accepts Visa, MasterCard, Debit, Discover, Money Orders, Cash, and Personal Checks. Non-Sufficient Funds: There is a charge for dishonored checks ranging from $25 to $50, depending on the amount of the check. This amount will be added to the existing balance and it will accrue interest as per Florida Statute on maximum allowed interest collection of a debt.

 

Collections

Any account that is more than 60-days old will become the responsibility of the patient. It is our policy to try and resolve outstanding balances. Although we do not have any control over your insurance carrier, our office will assist you by providing information that will hopefully help settle the debt.

However, our contract is with you, and we expect that you satisfy any outstanding balances. We also reserve the right to forward outstanding balances to collections in the event that there is no resolution within a reasonable period.

 

Confidentiality of Information

It is our policy and Federal Regulation (HIPAA) not to release medical information of any kind without your express written consent. Please be advised that when authorizing a third-party to release your medical record, we have no control over potential future outcome. Our office will provide you with a copy of HIPAA at your request, and it can also be downloaded from our website.

 

Electronic Communication

In an effort to protect your privacy, we do not communicate via email, twitter, chat, or FaceBook. 

Emergencies

Please call 9-1-1, or go to the nearest emergency room for assistance. Our office is not prepared to deal with medical emergencies.

 

Medication Refills

We will not refill prescriptions on Friday, weekends, or holidays. Please make sure that you have an ample supply before your next appointment. 

Completion of Forms/Letters/Authorizations

The office will charge for time involved in the process of completing forms, letters, authorizations, etc. This will depend of the work and time involved. You will be notified beforehand. Please note, insurances do not cover this service.