{"id":4048,"date":"2019-10-03T02:13:48","date_gmt":"2019-10-03T02:13:48","guid":{"rendered":"\/?page_id=4048"},"modified":"2019-10-11T01:28:31","modified_gmt":"2019-10-11T01:28:31","slug":"financial-responsibility","status":"publish","type":"page","link":"https:\/\/www.washingtonnephrology.com\/index.php\/for-patients\/new-patient\/financial-responsibility\/","title":{"rendered":"Financial Responsibility"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.29.3&#8243; fb_built=&#8221;1&#8243; _i=&#8221;0&#8243; _address=&#8221;0&#8243;][et_pb_row _builder_version=&#8221;3.29.3&#8243; _i=&#8221;0&#8243; _address=&#8221;0.0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.29.3&#8243; _i=&#8221;0&#8243; _address=&#8221;0.0.0&#8243;][et_pb_text _builder_version=&#8221;3.29.3&#8243; text_font_size=&#8221;19px&#8221; header_text_align=&#8221;center&#8221; custom_padding=&#8221;||0px|||&#8221; _i=&#8221;0&#8243; _address=&#8221;0.0.0.0&#8243;]<\/p>\n<h1><b>Financial Responsibility Agreement<\/b><\/h1>\n<p><b><\/b><\/p>\n<p><b><\/b><\/p>\n<p>\u00a0I understand that my insurance is a contract between me and\u00a0the insurance carrier, and not between the insurance carrier and Washington Nephrology Associates, and that I am still fully responsible for all fees. \u00a0Should timely payments of this account not be made, I authorize Washington Nephrology Associates to retain the services of an attorney and\/or collection agency to assist with the collection of only outstanding balance. \u00a0Any expenses incurred by such action shall become an additional liability for which I assume responsibility.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_6,1_6,1_6,1_6,1_6,1_6&#8243; _builder_version=&#8221;3.29.3&#8243; hover_enabled=&#8221;0&#8243; _i=&#8221;1&#8243; _address=&#8221;0.1&#8243; max_width=&#8221;1836px&#8221;][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;3.29.3&#8243; _i=&#8221;0&#8243; _address=&#8221;0.1.0&#8243;][et_pb_button button_url=&#8221;\/index.php\/for-patients\/new-patient\/&#8221; button_text=&#8221;Back&#8221; _builder_version=&#8221;3.29.3&#8243; custom_button=&#8221;on&#8221; button_text_color=&#8221;#ffffff&#8221; button_bg_color=&#8221;#0c71c3&#8243; button_use_icon=&#8221;off&#8221; custom_padding=&#8221;|||15px||&#8221; global_module=&#8221;4361&#8243; saved_tabs=&#8221;all&#8221; _i=&#8221;0&#8243; _address=&#8221;0&#8243; button_bg_enable_color=&#8221;on&#8221;][\/et_pb_button][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;3.29.3&#8243; _i=&#8221;1&#8243; _address=&#8221;0.1.1&#8243;][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;3.29.3&#8243; _i=&#8221;2&#8243; _address=&#8221;0.1.2&#8243;][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;3.29.3&#8243; _i=&#8221;3&#8243; _address=&#8221;0.1.3&#8243;][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;3.29.3&#8243; _i=&#8221;4&#8243; _address=&#8221;0.1.4&#8243;][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;3.29.3&#8243; _i=&#8221;5&#8243; _address=&#8221;0.1.5&#8243;][et_pb_code _builder_version=&#8221;3.29.3&#8243; custom_padding=&#8221;11px|950px||68px|false|false&#8221; custom_css_before=&#8221;.pom-default {||    background-image: url(&#8216;print-icon.png&#8217;);||    background-repeat: no-repeat;||    width: 32px;||    height: 32px;||}&#8221; global_module=&#8221;4337&#8243; saved_tabs=&#8221;all&#8221; _i=&#8221;0&#8243; _address=&#8221;0.1.5.0&#8243;]<div class='printomatic pom-default ' id='id9532'  data-print_target='article'><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Financial Responsibility Agreement \u00a0I understand that my insurance is a contract between me and\u00a0the insurance carrier, and not between the insurance carrier and Washington Nephrology Associates, and that I am still fully responsible for all fees. \u00a0Should timely payments of this account not be made, I authorize Washington Nephrology Associates to retain the services of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":666,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-4048","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/pages\/4048","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/comments?post=4048"}],"version-history":[{"count":0,"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/pages\/4048\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/pages\/666"}],"wp:attachment":[{"href":"https:\/\/www.washingtonnephrology.com\/index.php\/wp-json\/wp\/v2\/media?parent=4048"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}