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Druid Hills Primary Care
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Druid Hills Primary Care Financial Policy

  

Overview

This policy outlines the financial procedures and guidelines for billing, payment, and insurance claims at our primary care practice. It ensures transparency and consistency in managing patient accounts.


Payment Methods

Accepted Payments

- Cash

- Credit/Debit Cards (Visa, MasterCard, American Express, Discover)

- Personal Checks

- Mobile Payments (Apple Pay, Google Pay)

Payment Due

- Payment is due at the time of service unless prior arrangements have been made. 

- We do not offer “bill me later” options for patients without insurance.

Insurance

Insurance Claims

- We accept most major insurance plans. Patients are responsible for verifying that their insurance is accepted and for understanding their policy coverage.

- As a courtesy, we will file insurance claims on behalf of patients. Any remaining balance after insurance has processed the claim is the patient's responsibility. 

-Payment is required for all services rendered even if the patient’s insurance denies the claim. 

- We do not process any insurance claims, therefore patients should call their insurance to get details on how their claim was processed and/or dispute any denied claims. 

Co-payments & Deductibles

- Co-payments are due at the time of service.

- Patients are responsible for any deductibles, co-insurance, or services not covered by their insurance plan.

Billing

Statements

- Monthly statements will be sent for any outstanding balances.

- Payment is expected within 30 days of the statement date.

Past Due Amounts

- Accounts past due for more than 60 days will incur a late fee of 15%.

- Accounts past due for more than 90 days may be referred to a collection agency.

No-Show & Cancellations

No-Show & Cancellations

 - A $25 fee will be charged for missed appointments not canceled at least 24 hours in advance for existing patients.

- A $50 fee will be charged for missed appointments not canceled at least 48 hours in advance for new patients.

administrative fee policy

To ensure timely and professional processing of non-clinical services, the following administrative fees apply. These fees are not billable to insurance and are the responsibility of the patient.

📄Letters of Medical Necessity – $25

Includes custom letters for schools, employers, housing, air purifiers, etc. Must be requested during a visit or with supporting documentation. 

📝 Form Completion Fee – $50

Includes FMLA, short-term disability, ADA accommodations, and other school or employer-related paperwork.
A visit is required and all necessary documents must be provided at the time of the appointment.

🪪 Notarized Handicap Placard Form – $25

 We can complete and notarize handicap placard applications. Patient must schedule an appointment and bring the state form. 

📁 Medical Records Request – $55

Flat fee for processing and releasing medical records directly to the patient or third party, in accordance with HIPAA and state law. 

Important Notes:

  •  All fees are due at the time of service.
  • Allow 5–7 business days for completion of forms or letters.
  • Failure to provide proper documentation or attend a required appointment may delay processing 

Contact & Disclosure Information

Contact Information

For questions regarding this financial policy, billing, or insurance claims, please contact our billing office at 404.228.2648 or via email at info@druidhillsprimarycare.com 

Effective Date

This policy is effective as of 01/01/2024 and is subject to periodic review and updates.

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This policy ensures clarity and fairness in the financial interactions between our practice and our patients, promoting a smooth and transparent billing process.


Copyright © 2025 Druid Hills Primary Care - All Rights Reserved.

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