What are the documents submitted by a New patient at the Front Office?

Documents submitted by a New patient at the Front Office:

(a) Patient Demographic details
(b) Guarantor Details
(c) Patient & Guarantor Employer details
(d) Assignment of Benefits
(e) Release of Information
(f) Promissory Note

a) Patient Demographic Detail: The patient details will get registered in buck slip at the front office.

b) Guarantor Details: The details of the person who is going to accompany with the patient will also be registered at the front office.

c) Employer Information: Employer details of both patient and guarantor will also be collected at the front office.

d) AOB: (Assignment of Benefits): The Patient or guardian signs the assignment of benefits form so that the physician or medical provider will receive the insurance payment directly. This form will also be submitted at the front office.

e) ROI (Release of Information): The patient authorizes the provider to release his personal and medical information for the purpose of medical billing.

f) Promissory Note: Is a notice to maintain patient goodwill with extended payment plans.