Waterbury Office 203.753.9905
Cheshire Office 203.271.1400
   

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PATIENT INFORMATION

                                                                                                                                                                                                                                       

                                                                                                          

Appointments
Patients are seen by appointment.  Please assist us by being on time for your appointments. If there is an urgent problem that cannot wait, please call the office in the morning so that it will allow us to accommodate you with minimal waiting. If the office is closed, our twenty-four hour answering service will contact the doctor.  We respect your busy schedule. Be assured that your scheduled appointment is a bond of trust that we will be here to serve you and attend to your needs at the time you have chosen. Ninety percent of the time we will see you within 10 minutes of your scheduled appointment. Even though emergencies do arise, we try our best to stay on schedule. When a delay is anticipated we will do our best to notify you of the delay beforehand, so that you may best use your time.  We ask that you also respect our time. We expect that you will be present for all scheduled appointments. If you must change or cancel an appointment we require that you communicate directly with our staff and give two full working days notice.  A cancellation fee will be charged, after numerous broken appointments.                    
      

Because we do a thorough initial  comprehensive examination, you can plan on being at our office for approximately one hour or more if x-rays are needed. Following your examination, the doctor will discuss your treatment needs, if any, and outline a proposed treatment plan. The doctor will be happy to address any questions or concerns you may have regarding your diagnosis and treatment at any time. All initial visits, periodontal therapy, surgical procedures, follow-ups and supportive periodontal therapy appointments are each available during specified time periods in the week to promote office efficiency.

 
Cancellations
The nature of our practice is such that we reserve time especially for you. If you are unable to make your appointment, we require 24 hour notice prior to your appointment. This permits us to extend that time to another patient. Patient's who fail to show for their confirmed appointed time, will be charged a fee of $25.00. Habitual cancellations will be assessed a fee based on the length of the missed appointment. This is necessary to cover our staffing costs, as well as other overhead expenses.

Fees
The fees in our office are based on the care, skill, time and judgment needed to help treat your condition. These fees for treatment will be discussed fully prior to the beginning of therapy as well as all payment options that we extend to our patients.

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Insurance
As a courtesy to our patients we will submit to most insurance companies. Because we do this we are required by Connecticut statute to wait 45 days for payment from the insurance company. All quotes received from your insurance company are considered an ESTIMATE. Submitting to insurance is NOT a guarantee of payment. Ultimately and irregardless of insurance, any and all services rendered are billable and the patient's full responsibility.

Your insurance coverage may or may not include benefits for services provided in this office. The benefits you may receive are established by the terms of the contract that has been purchased by your employer or you. The formula your insurance carrier uses, if benefits are covered, may be less than the fee we have established as necessary for your care. There are several ways benefit amounts are determined.

1. Some plans pay a set dollar amount for service.

2. It is common for a plan to pay a percentage of what the insurance industry calls the usual, customary or prevailing fee. Each insurance carrier establishes their own usual, customary and prevailing fees by use of a complicated formula, which is confidential and not made public. In our view, usual and customary is an insurance term that means, “average care”. The care we provide is designed to be excellent rather than average.

3. Many policies require that an annual deductible be paid. Amounts range from $25 to $250.

4. Most plans set an annual or lifetime limit on benefits.

5. Very few insurance companies require a pre-treatment estimate. We will prepare one if it is important for you to understand what your financial obligation will be.

Please review your insurance booklet thoroughly and be sure to ask questions of your company’s representative so that you do not have “surprises” when you are asked to meet your financial obligations. We are prepared to assist you as much as possible. At times we are unable to help due to contractual limitations or interpretations by the insurance carrier.

Filing insurance claims is a courtesy that we extend to our patients. All charges are your responsibility from the date the services are rendered. If a temporary financial problem will effect timely payment of your account, we encourage you to contact us promptly for assistance in the management of your account.

Please remember:

1. Your insurance is a contract between you and/or your employer and/or the insurance company. We are not a party to that contract. Questions regarding why your company includes or excludes certain services should be directed to your employer.

2. Our fees are based on your individual needs and what doctor Urling feels will be required to provide the highest quality care. The exact amount of reimbursement will vary between insurance companies. Some companies reimburse based on an arbitrary “schedule” of fees, which has no relationship to the current standard, and cost of your care.

3. Insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment. Some companies pay fixed allowances for certain procedures, and others pay a percentage of the charge. It is your responsibility to pay any deductible amount, co-insurance or any other balance not paid for by your insurance.



Privacy
As of April 14, 2003: H.I.P.A.A. (Health Insurance Portability & Accountability Act) by Connecticut law requires us, to have a signed patient release form when sending medical information. This is so personal medical information can be given regarding the patient's health and treatment. In example: to your attending physician or your insurance company. By signing below you hear by give said permission to release information and agree to our office policy.

Website Disclaimer 

This website is provided for information and education purposes only. No doctor/patient relationship is established by your use of this site. No diagnosis or treatment is being provided. The information contained here could be used in consultation with any periodontist of your choice. No guarantees or warranties are made regarding any of the information contained within this website. This website is not intended to offer specific medical, dental, or surgical advice to anyone. The doctor is licensed to practice in the States of Connecticut and Florida and this website is not intended to solicit patients from other states. Furthermore, this website and doctor take no responsibility for websites hyper-linked to this site and such hyper-linking does not imply any relationships or endorsements of the linked sites.

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