Payment & Office
Policies
Cost
The cost of treatment depends on the severity
of the patient's problem. You will be able to
discuss fees and payment options before treatment
begins. We have payment plans to suit different
budgets, including a no-down-payment option. We
also accept assignment from most insurance plans,
and file the necessary papers to the insurance
company. We work hard to make dental care affordable
and to make sure that you realize your insurance
benefits.
Fees
In an effort to keep fees down while maintaining
the highest level of professional care, we have
established this financial policy:
- If full payment is made at the onset of treatment,
we will offer a fee discount since no further
book-keeping fee is needed.
- To fit your individual needs for extensive
treatments, financial arrangements can be made
to extend your payments over a period of months.
- For your convenience, we accept payment by
VISA and MASTERCARD.
Insurance
If you have insurance, we will help you to determine
the coverage you have available. Professional
care is provided to you, our patient, and not
to an insurance company. Thus, the insurance company
is responsible to the patient and patients are
responsible to the doctor. We will help in every
way we can in filing your claim and handling insurance
questions from our office on your behalf.
Privacy
Policy/HIPAA Compliance
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
IT CAREFULLY.
Ryning and McGonegle Family Dentistry understand that medical information
about you and your health is personal "Protected
Health Information" ("PHI") and
we are committed to protecting your medical information.
PHI includes individually identifiable information
about your past, present or future health or condition,
the provision of health care to you, or payment
for such health care.
We use and disclose PHI about you for treatment,
payment, and health care operations.
Treatment: We may disclose
PHI to your insurance provider, our dentist(s)
and other dental care providers for treatment
purposes. For example, your dentist may wish
to provide a dental service to you but first
seek information from your insurance provider
as to whether the service has been previously
provided.
Payment: We disclose your
PHI in order to fulfill our duty to check your
coverage, determine your benefits, and secure
payment for services provided to you. For example,
we use your PHI in order to request process
of your claims by your insurance provider.
Health Care Operations: We
disclose your PHI as a part of certain operations,
such as quality improvement. For example, we
may use your PHI to evaluate the quality of
dental services that were performed.
We may be asked by the sponsor of your health
plan to provide your PHI to the sponsor. If we
are asked to do so, we intend to honor such requests
unless we are prohibited by law.
We may use or disclose your PHI without your
authorization for several other reasons. Subject
to certain requirements, we may give out PHI without
your authorization for public health purposes,
auditing purposes, research studies, and emergencies.
We provide PHI when otherwise required by law,
such as for law enforcement in specific circumstances,
or for judicial or administrative proceedings.
In any other situation, we will ask for your written
authorization before using or disclosing your
PHI. If you choose to sign an authorization to
allow disclosure of your PHI, you can later revoke
that authorization to stop any future uses and
disclosures (other than for treatment, payment
and health care operations).
We may change our policies at any time. Before
we make a significant change in our policies,
we will change our notice and send the new notice
to you. You can also request a copy of our notice
at any time.
Individual Rights
In most cases, you have the right to view or get
a copy of your PHI. You also have the right to
receive a list of instances where we have disclosed
your PHI without your written authorization for
reasons other than treatment, payment or health
care operations. If you believe that information
in your record is incorrect or if important information
is missing, you have the right to request that
we correct the existing information or add the
missing information. You may request in writing
that we not use or disclose your PHI for treatment,
payment and health care operations except when
specifically authorized by you, when required
by law, or in emergency circumstances. We will
consider your request but are not legally required
to accept it. You also have the right to receive
confidential communications of PHI by alternative
means or at alternative locations, if you clearly
state that disclosure of all or part of your PHI
could endanger you.
Complaints
If you are concerned that we have violated your
privacy rights, or you disagree with a decision
we have made about access to your records, you
may contact the address listed below. You may
also send a written complaint to the U.S. Department
of Health and Human Services. Customer Service
can provide you with the appropriate address upon
request.
Our Legal Duty
We are required by law to protect the privacy
of your information, provide this notice about
our information practices, and follow the information
practices that are described in this notice. If
you wish to inspect your records, receive a listing
of disclosures, or correct or add to the information
in your record, or if you have any questions,
complaints, or concerns, please contact:
Ryning and McGonegle Family Dentistry, 2817 Griffin Avenue Enumclaw, WA 98022
