Financial Responsibility Policy

Purpose

This policy outlines the financial responsibilities of all patients receiving services at Waldron Eyecare. Its goal is to ensure transparency regarding insurance billing, patient obligations, and procedures related to unpaid balances.

Accuracy of Patient Information

Patients are expected to provide accurate and up‑to‑date information regarding their health history and insurance coverage. This includes providing copies of all insurance cards (medical and vision) at time of service. Failure to provide correct information may result in delays or denials of insurance claims, for which the patient will be responsible.

Insurance Billing and Payment

Waldron Eyecare submits claims to patients’ insurance carriers for services that are eligible for coverage. Patients are responsible for ensuring that all insurance requirements—such as obtaining necessary referrals prior to an appointment—are satisfied. If a referral is not obtained when required, the patient will be responsible for all charges associated with the visit. Regardless of insurance status or claim outcomes, patients are ultimately responsible for all balances on their account.

Outstanding Balances and Collections

Timely payment of all outstanding account balances is required. If payment is not received within the established timeframe, Waldron Eyecare may engage an attorney and/or a collection agency to recover the outstanding amount. Any costs incurred as part of the collection process will be added to the patient’s financial responsibility.

Release of Information

Waldron Eyecare may release necessary information—including medical information—to insurance carriers for the purpose of determining benefits and processing claims. Patients may revoke authorization for the release of information at any time by submitting a written request; however, revocation may impact the ability to process insurance claims.