Billing and Payment Policy
To make a payment go to your patient portal HERE or call
Language Essentials Billing and Payment Policy
Language Essentials will collect all fees due at the time of the service. However, at the conclusion of your visits with us, you may be billed for any outstanding balances. This includes but is not limited to private pay clients, insurance co-pays, co-insurance, and deductibles. Language Essentials requires all clients to always have an active credit and/or debit card on file. Refusing this policy will lead to discharge. See payment form on Page 3.
It is the Client’s responsibility to know their Speech and/or Occupational therapy benefits, limits, and exclusions, in addition to their deductibles and copay or coinsurance amounts. It is your responsibility to make sure the insurance plan we have on file is the most current. If the Client is a member of an insurance company of which Language Essentials is an in-network provider, Language Essentials will submit payment claims on behalf of the Client to the insurer. This requires your current insurance information and a copy of your insurance card. As a courtesy, Language Essentials will submit claims to the insurance company, a maximum of two times.
Your financial records as well as your medical records are kept confidential and secure.
Any further insurance appeals are the responsibility of the Client. This includes, but is not limited to, insurance company denial of coverage for any procedure and/or diagnostic code, policy deductibles, policy maximums for annual or lifetime benefits being exceeded, insurance paying an amount for a procedure based on its usual and customary benefit schedule which is less than the fees charged by Language Essentials for such procedure and Language Essentials not receiving payment within 45 days even if you are appealing the denial of insurance benefits by the carrier. Language Essentials is not responsible for tracking the number of allowable visits/sessions per coverage period. This is solely the responsibility of the Client.
Any claim that needs to be resubmitted due to new insurance, incomplete or outdated information will incur a $25 administrative refiling fee.
If the Client is the member of an HMO, a referral is required prior to services being rendered by Language Essentials. If we do not have a referral at the time of the patient’s initial appointment, the appointment will be rescheduled, or, by signing this document, the Client accepts responsibility for all charges incurred until a referral and payment are received by Language Essentials.
Language Essentials will be paid in full by the Client regardless of the status of the Client’s reimbursement with his/her insurance company. Language Essentials has no responsibility for non-reimbursement by the Client’s insurance company.
Language Essentials reserves the right to refuse services if payments are not received within 10 days of the previous month’s invoice or the equivalent of three therapy sessions. The Client acknowledges Language Essentials’ right to add interest, late fees ($25.00 per month) and collection costs (including legal fees), if applicable, to any invoice not paid within this period. If payments by the Client are returned for any reason, Language Essentials will add the returned check fee ($35.00), denied credit card fee or any other related fees to the amount owed by the Client.
Payment Terms and Conditions
The Online Payment Terms constitute a contract between you and Language Essentials, Inc. Please read them carefully. To make payments using our online payment portal all clients accept the Terms outlined below. Language Essentials, Inc. accepts the following cards:
By submitting a payment via our online portal you are confirming the following:
You are 18 years of age or over.
You have the appropriate authority to validly accept the Online Payment Terms and are able to and will meet your obligations in relation to these Terms.
The credit card used in connection with the Services is issued in your name or you are authorized to use the credit card.
You will pay the credit card issuer all charges incurred in the use of the Services.
The information supplied by you is true and correct.
When you complete the online payment form, funds will be deducted from your credit card in USD currency. All payments are debited to Language Essentials, Inc.
By using online credit card facilities you accept and consent to your personal data being provided to the Service Provider for the sole purpose of offering and administering the online payment. We respect the privacy of every individual who visits our site and have security measures in place to protect the loss, misuse and alteration of the information under our control. Language Essentials, Inc. Terms and Conditions for online credit card payments are subject to change at any time. Each transaction shall be subject to the specific Terms and Conditions that were in place at the time of the transaction.
If you have any questions or concerns, please contact us by email at email@example.com
Your privacy is important to us. To better protect your privacy we provide this notice explaining our online information practices and the choices you can make about the way your information is collected and used.
This notice applies to all information collected or submitted on the website. On some pages, you can make requests, and register to receive materials. The types of personal information collected at these pages are:
The Use of Information
We use the information you provide about yourself when placing an order only to complete that request for information.
We do not share this information with outside parties except to the extent necessary to complete that process.
We use return email addresses to answer the email we receive. Such addresses are not used for any other purpose and are not shared with outside parties.
We never use or share the personally identifiable information provided to us online in ways unrelated to the ones described above without also providing you an opportunity to opt-out or otherwise prohibit such unrelated uses.
To prevent unauthorized access, maintain data accuracy, and ensure the correct use of information, we have put in place appropriate physical, electronic, and managerial procedures to safeguard and secure the information we collect online.
To Access/Correct Information
You can inquire about all your personally identifiable information that we collect online and maintain by contacting us at firstname.lastname@example.org.
To protect your privacy and security, we also take reasonable steps to verify your identity before granting access or making corrections.
Tel: (925) 743-3322