RETURNED CHECKS
A $25.00 fee will be charged for any returned checks.
OPEN PAYMENTS
The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov.
I understand and agree that regardless of my insurance status, I am ultimately responsible for the balance on my EMG account for any professional services rendered. I have read the above EMG Patient Financial Policy, agree to abide by it, and have provided EMG with true and correct insurance information. I will notify EMG of any change in my health insurance coverage.