Insurance Information; Patient Financial Obligations And Billing Information - Preventice Solutions BodyGuardian HEART Instruction Manual

INSURANCE INFORMATION

Patient financial obligations and billing information

On behalf of your physician, you are being provided with a heart monitor from Preventice Services. This test
will be billed in two parts:
1. Your medical professional will bill your insurance for the in-office hook-up and the final reading of the test results.
2. Preventice Services will bill your insurance for the use of the monitor along with providing the physician with
24/7 monitoring center service and all requested data and reports.
Your insurance company will usually send you an Explanation Of Benefits (EOB) describing the amount paid and
the amount you owe Preventice. An EOB is not a bill.
Our goal is to help your physician diagnose your heart condition without delay or concerns about billing. We offer
patient-friendly payment options, including a discounted rate at the time of service or a reduced rate when your
insurance indicates a large fee payable by you for our services or the physician's services.
All equipment is the sole property of Preventice Services. To avoid financial liability and to ensure that you do
not receive a bill for the value of the equipment in your possession (up to $2,400), please return the equipment
immediately after your service ends. Any request for an extension of your study beyond your prescribed study
needs to come from your physician through a new order sent to Preventice Services. Be aware that the second
study may not be covered by all insurance providers and you may be responsible for those charges.
Our Notice of Privacy Practices is available for your review at www.preventicesolutions.com
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