Patient accepts responsibility for the payment of all charges incurred including co-payment, coinsurance, deductible, non-covered services with their specific plan, missed appointments, attorney’s fees and any other collection related costs if necessary. If patient’s insurance requires a specific primary care provider for payment, patient may be responsible for charges incurred if the provider assigned is not at Hampton Family Practice.
Please remember that you are fully responsible for all fees charged by this office regardless of your insurance coverage. For your convenience, we accept payment by:
+cash
+check
+Visa
+MasterCard
+Discover
Please note, a missed appointment fee is applied if 24 hour notice is not provided for appointment cancellation.
If you have questions regarding your account, please contact us.
