Financial, Scheduling, and Insurance Policies

At Cayo Costa Dental, our goal is to provide the highest quality dental services in a warm and caring environment to all of our patients. We also strive to provide timely treatment of you and your family’s dental needs at fees that are fair and affordable.

In order our office to achieve these goals, Cayo Costa Dental works diligently to reduce our administrative costs, office overhead, and maximize our scheduling efficiency. As a result of these efforts, we have adopted the following office policies:

1. Payment for all treatment is due at the time of service unless prior arrangements have been made with one of our scheduling coordinators. If you have any questions regarding our fees or treatment options, our staff will gladly provide them to you both verbally and in writing. We will also be happy to discuss our many financial options prior to your treatment.
2. For all prescheduled appointments, we respectfully ask that you provide 48 hours advanced notice to cancel or reschedule an appointment. Any appointment cancelled or rescheduled less than 48 hours prior to an appointment will be considered a broken appointment. After multiple family broken appointments, the office will provide the following two scheduling options:
   1. A deposit will be required for all pre-scheduled appointments. This deposit will become non-refundable should the appointment be broken.
   2. Short notice call list in which the office will call you when we have an available opening in our schedule.
3. Please contact our scheduling coordinator to confirm prescheduled appointments. We will make every attempt to contact you both with recall cards and by phone prior to prescheduled appointments. Should we be unable to make direct contact with you, our expectation is that you will contact our office to confirm the appointment. We reserve the right to double book or remove any non-confirmed appointment from our schedule. It is your responsibility to provide our office with any new telephone numbers and contact information.
4. Our office will electronically file all insurance claims electronically in a timely manner. Should we be unable to transmit your claims electronically, you will be provided with a paper claim for submission to the insurance company.

   Should your insurance company require additional information regarding your claim, we will provide this information to you at no additional cost in a timely manner. In order to prevent claims being lost or misplaced by the insurance company we encourage our patients to directly send all insurance re-submissions with return receipt. If you have any questions regarding insurance claims or our insurance policy, we encourage you to contact our scheduling coordinator.

I have read and understand the above policies.