Financial Policy
FINANCIAL POLICY:
Insurance Billing:
We accept most major insurance plans and will bill your insurance provider directly for services rendered. It is your responsibility to understand your insurance plan’s mental health coverage, including deductibles, co-payments, and any referral requirements.
Please note that insurance coverage varies and it’s your responsibility to verify your benefits before services are rendered. If your insurance claim is denied, or if your insurance company pays only a portion of the bill, the balance is your responsibility.
Cash Payments:
Credit Card on File:
No-Show and Late Cancellation Fee:
We value your time and ask that you respect ours as well. If you need to cancel or reschedule an appointment, please give us at least 24-hours notice. Missed appointments, or appointments cancelled without 24-hours notice, will incur a $50 fee. This fee is not covered by insurance and will be charged to the credit card on file.
By acknowledging this policy, you understand and agree to comply with Brainpower Wellness Institute’s financial policy. We appreciate your cooperation and understanding regarding this matter, as it allows us to continue providing you with quality care.
Chargeback Policy for Brainpower Wellness Institute Nursing Corporation
Introduction :
1.Eligibility for Chargebacks:
Clients may be eligible for a chargeback under the following strict circumstances:
1.1 Unauthorized Transactions:
Clients must immediately notify the clinic of any unauthorized transactions, which is defined by any charge for a service that you did not receive.
1.2 Verified Duplicate Payments:
Chargebacks will only be considered for verified accidental duplicate payments.
1.No Refunds for Specific Fees:
Refunds will not be granted for the following fees and charges:
2.1 No-Show Fees:
Clients who fail to attend scheduled appointments without providing prior notice will not be eligible for a refund of no-show fees.
2.2 Forms Processing Fees:
Fees associated with processing client forms are non-refundable.
2.3 Phone Consultations Outside of Appointments:
Fees for phone consultations conducted outside of scheduled appointments are non-refundable.
2.4 Testing Fees:
Charges related to any testing services provided are strictly non-refundable.
2.5 Services Provided to the Client (Service fee or copayments) :
Fees for services rendered to the client are non-refundable unless there is a failure to provide the agreed-upon services.
3.Chargeback Request Process:
Clients seeking a chargeback must strictly adhere to the following process:
3.1 Immediate Notification:
Clients must notify the clinic within 15 days of the transaction date to be eligible for a chargeback.
3.2 Phone or email Submission:
Chargeback requests must be submitted in via email to [email protected] or by calling the clinic’s billing department. Contact information for the billing department is available on our official website.
4.Resolution:
4.1 Refund or Credit:
If the clinic determines that the client is eligible for a chargeback based on the outlined criteria, the client will promptly receive a refund or credit for the disputed amount.
4.2 Collections Warning:
Clients are hereby informed that chargebacks for fees specified in section 2 will result in the initiation of collections procedures. This may impact the client’s credit standing and may incur additional fees.
5.Contact Information:
For any inquiries or to initiate a chargeback request, please contact the billing department at [email protected] or 714-712-0711 .Note: This chargeback policy is subject to periodic review and may be updated without notice. Clients are strongly urged to review the policy periodically for any changes.
