Financial Policy

Patient Billing

For your convenience we accept Visa, MasterCard, Discover, Wells Fargo Health Financial, and Care Credit. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at Porto Fino Dental, Fort Meyers, FL Office Phone Number 239-482-8806. Many times, a simple telephone call will clear any misunderstandings.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan but this must be done prior to the actual procedure.

Financing to smile  about with Wells Fargo Health Advantage Card

The Wells Fargo Health Advantage Credit Card® is issued with approved credit through Wells Fargo
Bank, N.A. The card offers flexible financing options to buy now and pay over time for routine or
elective dental, veterinary, vision or hearing care. Minimum monthly payments required. Contact us for
more for details or click here/below to apply.

https://retailservices.wellsfargo.com/wfha_patient.html

e also accept CareCredit healthcare credit tce of Privacy Practicesrnfo and will remain in effect until we replace it.
uvacted health information (PHI).
• We will notify you if a breach occud Disclosures:
 nd share it with your referral source. With your permission, e can also share your Pired by professional ethics) to seek consultation from other professionals about specific cases,
although patient identity a third party, such as a court or social service agency, our agreement to receive those
services indicates agreement that requested ractice, improve your care, and ontact you when necessary.
• We can use and share your PHI to bill and receive payment from health plans or ther entities.l privacy law.
• We can use and share your PHI for special government functions such as military, national security, and presidential protective services.
xchange serving Maryland and D.C. As permitted bytheir website at www.crisphealth.org. Public health reporting and Controlled Dangerous
ubstances information, as part of the Maryland Prescription Drug Monitoring Program (PDMP), will still be available to providers.
• We will not use or share your information other than as described here unless we have already relied on that authorizatiozation in the following circumstances:
• Child Abuse – If we have reason to suspect that a child has been sexually or must report this suspicion to the appropriate authorities.
dult abuse, neglect, or exploitation.
• Health Oversight Activities – If we receive a subpoena from an official Maryland • Judicial and Administrative Proceedings – If you are involved in a court ays that contribute to the public good, such as public
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
We may deny your request. Upon your request
phone) or to send mail to a different address. We
o You can ask us not to use or share certain PHI for treatment, payment, or our operations. We are not required to agree to your
 can ask for a paper copy of this notice at any time, even if you have agreed dian, toices about your PHI.  for you b

Call us: 239-482-8806