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Children's Communication Corner, Inc. We accept and are preferred providers for most insurance companies including: DSHS Sorry, we are unable to take new clients with DSHS at this time First Choice Health www.fchn.com Private Payment We accept cash or private checks. Sorry, we are unable to accept credit cards at this time. FINANCIAL AGREEMENT AND POLICY
We have developed a contractual relationship to be a provider of speech and language services with most insurance companies. Your insurance policy is a contract between you and your insurance company. We are not a party to your specific contract or what benefits are included or excluded in your plan. As your service provider, we will inquire about your policy’s applicable benefit for speech and language therapy services. We encourage you to confirm this benefit, as we are not responsible if the benefits quoted differ from your insurance company’s actual payment. If we are not a provider for your particular insurance company or if your insurance company refuses to pay for any portion of the services rendered, the “Parent or Legal Guardian” will be billed directly and will hold full responsibility for any unpaid services. Children's Communication Corner, Inc. is unable to bill insurance for clinician attendance to team meetings, phone consultations, or initial consultation sessions. The "Parent or Legal Guardian" will be billed directly for clinician time. Clinician time is billed in 15 minute increments for the above services.
Applicable co-payments will be billed following insurance reimbursement for services provided. Payments will be due within 30 days following receipt of your invoice. We accept both cash and checks as a payment option. A financial payment plan may be arranged with terms arranged on a case-by-case basis. Payments not received by the due date will be charged a $20.00 late fee, and any unpaid balances will accrue 5% interest at the 1st of each new month until the remaining balance is paid in full. If no payment plan has been arranged and a bill is more than 90 days past due, we reserve the right to contact a collection agency.
I authorize Children’s Communication Corner, Inc., to release any information to my insurance company that is pertinent to processing my claim. I also authorize Children’s Communication Corner, Inc to bill my private insurance company for speech, language, and communication services provided. I have read this Financial Policy and understand that I am responsible for payment to Children’s Communication Corner, Inc, for speech therapy services not covered by the contracted by my insurance company. |
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