7) Reasonable and Customary Charges: NICNC, not your insurance company, establishes
our fees
schedule, which is based on time, complexity and level of training and applications used.
Many applications do not have CPT codes and hence are posted under time values.
8) Personal Injury: Each patient is responsible for ensuring that payment is made on a timely
basis on his/her Personal Injury account. If you have a Med-Pay policy on your auto
insurance, we will assist you by providing a superbill/statement of services.
9) Collections: Balances greater than 90 days old and where a payment plan has not been
established may be turned over to an outside collection agency or advanced collection
measures. In the event this occurs, you may end up being discharged from the practice and
responsible for any collection fees, billing processing fees and/or court costs incurred by
NICNC.
