Financial Responsibility & Insurance Policy

For purposes of these policies, “PRISM Care,” “we,” “our,” and “provider” refer to PRISM Care, a DBA of PRISM Care PLLC, including its providers, employees, contractors, and authorized representatives.

1. Purpose

This policy defines patient financial responsibilities in compliance with Medicare and applicable laws.

2. Accepted Payment

PRISM Care accepts Medicare and cash-pay patients.

3. Patient Responsibility

Patients must verify coverage and are responsible for copays, coinsurance, deductibles, and non-covered services.

4. Payment Terms

All payments are due at time of service.

5. Cash Rates

New: $150; Follow-up: $100; Focused follow-up: $75.

6. No Guarantee

Insurance reimbursement is not guaranteed and determined by your payer.

7. Accuracy

Patients must provide accurate information; PRISM Care is not responsible for denials due to inaccuracies.

8. Collections

Unpaid balances may be sent to collections per applicable law.

9. Liability Limitation

PRISM Care is not liable for payer determinations, delays, or denials.