Policies​ ​for​ ​HSIM​ ​Mobile​ ​Dental​ ​Hygiene​ ​Services Appointment​ ​Policies

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Our​ ​administration​ ​team​ ​will​ ​notify​ ​you​ ​of​ ​your​ ​upcoming​ ​appointment​ ​one​ ​week​ ​prior to​ ​the​ ​scheduled​ ​appointment​ ​date​ ​via​ ​email,​ ​text,​ ​or​ ​telephone.​ ​We​ ​will​ ​confirm​ ​your appointment​ ​two​ ​days​ ​prior​ ​to​ ​your​ ​visit.​ ​We​ ​ask​ ​that​ ​you​ ​respond​ ​in​ ​order​ ​to​ ​ensure you​ ​will​ ​attend​ ​your​ ​appointment.

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We​ ​understand​ ​that​ ​sometimes​ ​you​ ​may​ ​not​ ​be​ ​able​ ​to​ ​keep​ ​a​ ​scheduled appointment.​ ​As​ ​this​ ​time​ ​has​ ​been​ ​reserved​ ​for​ ​you,​ ​we​ ​do​ ​require​ ​​2​ ​business​ ​days notice​​ ​so​ ​that​ ​we​ ​can​ ​offer​ ​that​ ​time​ ​slot​ ​to​ ​another​ ​client.

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A​ ​Medical/Dental​ ​and​ ​consent​ ​form​ ​must​ ​be​ ​completed​ ​and​ ​signed​ ​prior​ ​to​ ​any treatment.​ ​​ ​​ ​Forms​ ​will​ ​be​ ​provided​ ​at​ ​the​ ​time​ ​of​ ​the​ ​appointment​ ​or​ ​can​ ​be requested​ ​prior​ ​to​ ​the​ ​appointment​ ​via​ ​email​ ​or​ ​text.

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Insurance​ ​Policies

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We​ ​ask​ ​that​ ​all​ ​clients​ ​read​ ​through​ ​and​ ​understand​ ​their​ ​insurance​ ​policies.​ ​It​ ​is​ ​not always​ ​possible​ ​for​ ​us​ ​to​ ​access​ ​all​ ​the​ ​information​ ​concerning​ ​the​ ​client’s​ ​insurance plan,​ ​as​ ​insurance​ ​companies​ ​are​ ​not​ ​obligated​ ​to​ ​disclose​ ​any​ ​or​ ​all​ ​information​ ​to​ ​us due​ ​to​ ​the​ ​privacy​ ​act.​ ​We​ ​recommend​ ​that​ ​clients​ ​verify​ ​their​ ​coverage​ ​with​ ​their insurance​ ​company​ ​prior​ ​to​ ​the​ ​appointment.​ ​Clients​ ​must​ ​bring​ ​their​ ​dental​ ​insurance card​ ​as​ ​well​ ​as​ ​their​ ​dental​ ​coverage​ ​booklet​ ​to​ ​their​ ​appointment.

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Insured​ ​clients​ ​are​ ​encouraged​ ​to​ ​provide​ ​us​ ​with​ ​the​ ​following​ ​information​ ​about​ ​their insurance​ ​policy:

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• Name​ ​of​ ​insurance​ ​carrier

• Name​ ​of​ ​Employer

• Policy​ ​number​ ​(Group),​ ​certificate​ ​number​ ​(ID),​ ​and​ ​division​ ​number

• The​ ​anniversary​ ​date,​ ​Calendar​ ​year​ ​or​ ​policy​ ​year

• The​ ​annual​ ​maximum​ ​benefit​ ​per​ ​patient​ ​per​ ​year

• Percentage​ ​of​ ​coverage​ ​for​ ​diagnostic​ ​and​ ​preventative​ ​procedures.

• Number​ ​of​ ​scaling​ ​units​ ​per​ ​year

• frequency​ ​of​ ​recare

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Financial​ ​Policies

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HSIM​ ​offers​ ​assignment​ ​and​ ​non-assignment​ ​options.

With​ ​the​ ​assignment​ ​option,​ ​our​ ​administration​ ​team​ ​files​ ​the​ ​primary​ ​and​ ​secondary insurance​ ​claims​ ​on​ ​behalf​ ​of​ ​our​ ​clients​ ​and​ ​request​ ​that​ ​the​ ​insurance​ ​company​ ​pays HSIM​ ​directly​ ​for​ ​our​ ​services.​ ​Clients​ ​are​ ​required​ ​to​ ​pay​ ​any​ ​remaining​ ​balance,​ ​at the​ ​time​ ​of​ ​the​ ​appointment,​ ​if​ ​the​ ​insurance​ ​company​ ​does​ ​not​ ​pay​ ​in​ ​full.

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With​ ​the​ ​non-assignment​ ​option​ ​or​ ​if​ ​the​ ​client’s​ ​policy​ ​does​ ​not​ ​allow​ ​payment directly​ ​to​ ​HSIM,​ ​the​ ​client​ ​is​ ​then​ ​responsible​ ​for​ ​payment​ ​of​ ​the​ ​full​ ​amount,​ ​at​ ​the time​ ​of​ ​the​ ​appointment.​ ​Our​ ​administration​ ​team​ ​will​ ​still​ ​submit​ ​claims​ ​on​ ​the​ ​client’s behalf​ ​and​ ​have​ ​the​ ​insurance​ ​company​ ​pay​ ​the​ ​client​ ​directly.

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If​ ​the​ ​client​ ​does​ ​not​ ​have​ ​any​ ​insurance​ ​coverage,​ ​HSIM​ ​requires​ ​payment​ ​in​ ​full,​ ​at the​ ​time​ ​of​ ​the​ ​appointment.

If​ ​you​ ​have​ ​questions​ ​about​ ​any​ ​of​ ​our​ ​policies,​ ​feel​ ​free​ ​to​ c​​ ontact​ ​​us.​ ​​ ​Our administration​ ​team​ ​is​ ​always​ ​available​ ​to​ ​help​ ​you​ ​in​ ​any​ ​way​ ​they​ ​can.