Empowerment Insights/Donna Reid Washington, MHS, LPC is dedicated to providing the best possible care and service to you and regard your complete understanding of this policy as an essential element of your care and treatment
Payment is expected at the time of service unless other arrangements have been made in advance. New patients without evidence of insurance coverage by bringing to the first appointment the Patient Self Verification of Insurance Benefits form are required to make a $120.00 payment at the time of the appointment. This $120.00 will go towards the visit and any future visits.
Cash, Visa/MC/Discover or checks are accepted with a $25.00 fee for NSF checks, all initial co-pays are cash only.
As a courtesy, we will bill your insurance when you assign the benefits to Donna Reid Washington. Your insurance is a contract between you and your insurance carrier, if they do not pay the office within a 60-day period, we will look to you for payment. You will be refunded any over-payment you may make; in the event the insurance pays.
Any balance remaining after your health plan pays or denies as non-covered under your plan, will be your responsibility. Payment is due upon receipt of a statement from our office.
We will look to the adult accompanying a minor for payment of all services rendered to minor patients under 18 years of age.
If after making payment arrangements, your balance is not paid off within 180 days, the account will be assessed an interest charge at the rate of 18%.
In the event your account is transferred to our Collection Agency for recovery of unpaid balance, you will be responsible for collection agency fees and interest.