To Whom It May Concern:Patient was advised of recommended treatment and presented with an estimate of cost for service determined from the information provided by the insurance companySigned documentation was obtained that this is an estimate only and that any unpaid balance from the insurance
would be the account holders responsibilityUpon receiving explanation of benefits from account holders insurance, it was determined that account holder was responsible for more than the estimated copayment and therefore has an outstanding balanceThe patient is responsible for remaining balance of $Patient was also advised that other treatment would be necessary.Tiffany S*** Office Manager
To Whom It May Concern:Patient was advised of recommended treatment and presented with an estimate of cost for service determined from the information provided by the insurance companySigned documentation was obtained that this is an estimate only and that any unpaid balance from the insurance
would be the account holders responsibilityUpon receiving explanation of benefits from account holders insurance, it was determined that account holder was responsible for more than the estimated copayment and therefore has an outstanding balanceThe patient is responsible for remaining balance of $Patient was also advised that other treatment would be necessary.Tiffany S*** Office Manager