Patient acknowledgment of financial responsibility, Medicare, Medicaid, and HIPAA policies at Robert Friedman, M.D., P.C. The patient is informed about the non-participation with certain insurances, Medicare's non-coverage of refraction, and Medicaid's non-reimbursement for services by Dr. Friedman. The patient acknowledges understanding and agrees to the terms.
documents/EFTA00313986.pdf
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