Thank you for choosing Arizona Allergy Associates (AAA) as your allergy and immunology health care provider. We are committed to your treatment being successful. Your clear understanding of our Patient Financial Policy and Cancellation/No Show Policy is important to our professional relationship. Please ask if you have any questions about our fees, our policies, or your responsibilities.
We request ALL patients complete our Patient Information Form prior to seeing the provider and annually thereafter. It is your responsibility to notify our office of any patient information changes (i.e. address, name, insurance information, etc.) It is the patient responsibility to provide the office with current insurance information. We will ask for your insurance card at your first visit to obtain a copy for our records. We may occasionally request a copy at a later date to update your records so please have your insurance card every time you come to the office. If current information is not obtained at the time of service, it will become the patient’s responsibility to pay until current information is provided to the office.
Your insurance is a contract between you and your insurance company. We are contracted with most insurance plans and will file claims and process these as required by these contracts. We will file a claim for you as a courtesy if we are not contracted with your insurance carrier/plan. We will not become involved in disputes between you and your insurance carrier. This includes, but is not limited to, deductibles, co-payments, non-covered charges and “usual and customary” charges. We will supply information as necessary to you and/or your insurance company. You are ultimately responsible for the timely payment of your account.If your insurance company does not pay us within a reasonable time, we may look to you for payment for services rendered. All plans are not the same and they do not cover the same services. In the event your insurance company determines a service provided was “not covered”, you will be responsible for the complete charge. This office is not responsible for disputing insurance company decisions regarding coverage. We expect that you know your insurance benefits, including but not limited to, deductible, co-payment amounts, laboratory services, radiology facilities and hospitals associated with your plan. We will provide a cost estimate to you upon request. It is your responsibility to notify this office when your insurance company or plan benefits change. Any charges that remain uncovered because of incorrect information provided to us by you or your representative will become your responsibility. If you are covered by an insurance plan that AAA is not contracted with or participates with, or you have no insurance coverage, our charge for your care or the care of your dependents will be due at the time of service. Payment is due upon receipt of a statement from our office.
If you need an insurance referral from a primary care physician, make sure the referral is in our office BEFORE YOUR SCHEDULED APPOINTMENT. Fax: 480-839-1874. You may call our office to see if you need a referral form.
ARE DUE AT THE TIME OF SERVICE PRIOR TO SEEING THE PROVIDER. There will be a $25.00 charge added if we have to bill for the co-payment. We do not accept Cash, American Express or Discover. Payment is accepted with Visa, MasterCard, personal check, Cashier’s check, or Money Order with valid ID only. Please take time to read our full Financial Policy and Waiver; Cancellation/No Show Policy and Patient Information Form – these are very important documents and require your understanding and signature PRIOR to you being seen. Note: A fee of 40% will be added to unpaid balances that require collection and/or legal services.
Cancellation/No Show Policy
In order to ensure that the quality of patient care is maintained and all patients can be accommodated, it is important that you notify our office of your intentions to cancel or change your appointment at least twenty-four hours (24) prior to your scheduled appointment by calling (480) 897-6992. If you have an appointment scheduled on a Monday you may leave a message over the weekend on the voicemail or use the patient portal at www.azallergy.com to notify us. If no call is received within this time period you will be considered a “no show” and a $75.00 charge may be assessed. Note: This assessment will not be charged to your insurance company, you will be solely responsible for payment.
Please take the time and consideration needed to provide the proper notification of your intent to cancel your visit with your provider. We understand that there are emergencies and/or obligations that will require you to miss a scheduled appointment without notification, we will take these instances into account, however, we strongly encourage you to inform us as soon as possible so that we can accommodate another patient in that visit slot. If you have three or more missed appointments, we reserve the right to discharge you from the practice. If discharged, you will be notified in writing via Certified Mail.
We reserve the right to charge for copies of your patient records. You may request a copy of records annually at no cost. There is no cost to copy records for other physician offices. A charge of $25 may be assessed for any forms that need to be filled out by our providers. This will be collected prior to the paperwork being completed. If forms are faxed to the practice, payment will be required by credit card prior to paperwork being completed.
All of Our Physicians are Board Certified by the American Board of Allergy and Immunology. All of our physician assistants are board certified. Our offices are conveniently located throughout the “Valley of the Sun” in Phoenix, North Scottsdale, Chandler, and East Mesa, Our Physicians have won many awards, including multiple “Top Docs” awards from Phoenix Magazine.