Payment Policies for Lactation Services
I will provide you with a superbill suitable for you to submit to your insurance. The superbill (which will also serve as a payment receipt) will be coded appropriately to the level of service provided during the visit. You agree to pay me at the time of the visit (credit card or FSA), and a non-refundable deposit is collected when you book your appointment through SquareUp. NM Gross Receipt Taxes will be added to the total for all services rendered.
Payment is accepted electronically using a credit card. I use SquareUp to process payments. SquareUp meets the high standards of HIPAA and the banking industry for security and privacy with regard to financial transactions. However, SquareUp may send, automatically or per your request, email or text message receipts that reveal personal health information such as the date and type of lactation visit. If you are not comfortable with this, alternative payment arrangements will be considered at the discretion of the owner.
Payment is accepted electronically using a credit card. I use SquareUp to process payments. SquareUp meets the high standards of HIPAA and the banking industry for security and privacy with regard to financial transactions. However, SquareUp may send, automatically or per your request, email or text message receipts that reveal personal health information such as the date and type of lactation visit. If you are not comfortable with this, alternative payment arrangements will be considered at the discretion of the owner.