City of Angels Dermatology

Practice Policies

Patient Payments

As a patient you are required to make some payments either before your office visit or at the time services are rendered. You will be asked to make your co-payment, deductibles and coinsurance payments prior to receiving care. You may also be required to pay deposits for certain cosmetic or elective procedures. The amount of the patient office visit fee is based on your insurance plan and whether the services to be provided are covered services. You are expected to pay this fee to our administrative staff when you arrive for your appointment. Before your visit, you should check with your insurance company to be sure that you have the proper documentation with you when you arrive (health insurance card, member id number, drivers license, etc) and are aware of your co-payment requirements and any insurance restrictions.

You will also be required to pay fees for procedures that are not covered by your insurance; including certain cosmetic services and skin care products. You will pay for these additional procedures, services and products at the conclusion of your encounter. 

If we are a participating provider on your insurance plan, claims will be filed to the insurance company directly. In the event that your insurance company denies payment for any reason, patients or their guarantors are responsible for payment of all outstanding charges for services rendered. We will generally, allow 30 days from the time we submit a claim to your insurance company for the insurance company to acknowledge the claim, make payment, or denied the claim. On the 31st day if we have not received payment, the amount is due in full by you. We suggest you contact your insurance company to obtain a refund for any monies paid. We can provide you with an itemized form that you can submit to your insurance company if necessary.  These forms are useful for future insurance or income tax purposes.

If you are unable to make your appointment and neglect to notify us at least 24 hours in advance you will be billed a missed appointment fee of $25 for office visits and $50 for surgery.

Insurance

If we are a participating provider on your insurance plan, claims will be filed to the insurance company directly. In the event that your insurance company denies payment for any reason, patients or their guarantors are responsible for payment of all outstanding charges for services rendered.

If we are non-participating provider on your insurance plan, you are expected to pay in full at each office visit.  We will supply you with a itemized form that you can use to submit to your insurance provider for reimbursement.

Allowable Forms of Payment

We accept the following forms of payment for all fees.

• Cash
• Check
• Credit Card  - Visa, MasterCard, American Express, Discover

Returned Check Fees

If your check payment is returned you will be assessed a returned check fee of $35 in addition to the office service fee. 

Charges for Broken Appointments

If you are unable to make your scheduled appointment we ask that you notify us at least one business day prior to scheduled appointment. Please call us during normal business hours of 9:00 am and 5:00 pm.

If you are unable to make your appointment and neglect to notify us at least 24 hours in advance, you will be billed a missed appointment fee of $25 for office visits and $50 for surgery.

"THANK YOU FOR TAKING THE TIME TO READ THIS POLICY STATEMENT. WE VALUE OUR RELATIONSHIP WITH YOU AND SEEK TO ENSURE THAT OUR PLOICIES ARE FAIR AND CLEARLY COMMUNICATED. WE HOPE THIS DOCUMENT ANSWERS SOME QUESTIONS FOR YOU. IF YOU HAVE ANY MORE QUESTIONS REGARDING THESE MATTERS, PLEASE LET US KNOW."