Payment Policies
Good Samaritan Pain Clinic does everything possible to minimize the cost of medical care. You can help a great deal by eliminating the need for us to bill you. The following is summary of our payment policy.

All payment is expected at the time of service
Payment is required at the time services are rendered unless other arrangements have been made in advance. This includes applicable co-insurance and co-payments for participating insurance companies. Good Samaritan Pain Clinic
accepts cash, personal checks, most major credit cards.                 We Accept....
There is a service charge for returned checks.

Outstanding Balance
Patients with an outstanding balance of 60 days overdue must make arrangements for payment prior to scheduling appointments. We realize that people have financial difficulty. Please communicate with our billing and collection staff so that they may assist to create a financial plan with you.

Insurance
We bill participating insurance companies as a courtesy to you. You are expected to pay your deductibles and co-payments at the time of service. If we have not received payment from your insurance company, you will be expected to pay the balance in full. You are responsible for all charges.

Billing Questions
If you should need any assistance or have questions, please call our billing department between 8:00 a.m.-4:00 p.m., Monday through Friday at 724.591.5583.

Refunds
Overpayments will be refunded upon written request to the responsible party within 30 days of our office confirmation.

Missed Appointments /Untimely Cancellations
Missed appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. If you are unable to keep your appointment, please give 24-hours notice to avoid charge. We reserve the right to charge for missed or untimely canceled appointments.