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Enrollment
Service for Gastroenterology Group Of Rochester
HealthePay™
Program
Payment is due
at the time of service. If a patient is unsure of their covered
benefits, Gastroenterology Group Of Rochester will accommodate
requests for a delay of payment until such time that Gastroenterology
Group Of Rochester sends the claim to the insurance company
and receives an explanation of benefits, and allows patient
or guarantor up to 60 days to make payment so long as the
patient or their guarantor, agrees to enroll in our HealthePay™
Program. The patient or their guarantor must provide a current
credit card and agree to allow Gastroenterology Group Of Rochester
to charge that card for all charges deemed to be the patient's
responsibility. This includes payment in full for the visit
if the insurance card information is invalid or not current.
All credit card information is kept on a secure server in
compliance with Federal Privacy and Security Standards. By
enrolling in this program, you agree to receive email confirmation
of your enrollment in the Gastroenterology Group Of Rochester
HealthePay™
Program. You also agree to an email confirmation when your
credit card is charged. The information that may be sent will
be the date of service and total fees due. There will be no
diagnosis codes or visit details on that receipt but are available
by request. This is to maintain your or your child's health
information confidential.
By submitting
the below information you are authorizing us to charge your
credit card for future balances not paid by your insurance
company.
(View User
Agreement)
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