AES Financial Policy
Arizona Endocrine Surgery's financial policy outlines your responsibilities and our policies, and it serves as a mutual agreement upon your signature.
By signing this document, you agree to the following:
I understand the AES Patient Intake process requires that I provide requested medical records, test results & imaging reports for AES to determine the appropriateness of my condition for AES services.
I recognize that my appointment is not confirmed until I have received specific confirmation of date and time via email and that my requested date/time may not be approved.
I am aware that Dr. Harding is an Out-of-Network (OON) provider. As such, all in-office consultations, evaluations, and non-surgical services are self-pay and must be paid in full prior to or at the time of service.
I understand that my Insurance is not billed for in-office visits or related services.
I agree that payment is expected online in advance of my visit.
I understand that only surgical procedures are eligible for insurance billing and the AES billing team will work with my insurance provider to obtain prior authorization if applicable.
I accept that I am responsible for maintaining updated condition, insurance, and contact information at all times.