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Payment Due At Time Of Service

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PAYMENTS DUE AT TIME OF SERVICE

NHE-33991_GRN
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PAYMENTS DUE AT TIME OF SERVICE

ONE-33991
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PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33958_RED
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PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33958
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PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33958_RED
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PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33958
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All co-pays and deductibles are due at time of service

ANE-33931
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ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

ONE-33931
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ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

ONEP-33931
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CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONE-33940
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CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33940_BLU
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CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33940_BLU
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CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONEP-33940
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CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33940
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Payments due at time of service

ANE-33991
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Payments due at time of service

ANEP-33991
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PAYMENTS DUE AT TIME OF SERVICE

NHE-33991
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PAYMENTS DUE AT TIME OF SERVICE

NHEP-33991
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PAYMENTS DUE AT TIME OF SERVICE

NHEP-33991_GRN
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PAYMENTS DUE AT TIME OF SERVICE

ONEP-33991
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ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

ONE-33930
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ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

NHEP-33930
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ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

ONEP-33930
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CO-PAY IS DUE AT THE TIME OF VISIT PLEASE PRESENT YOUR PHOTO ID AND INSURANCE CARDS(S) AT TIME OF CHECK-IN THANK YOU SORRY NO CHECKS WE ACCEPT VISA, MASTERCARD AND DISCOVER

NHE-34017_BRN
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Payments of all co-pays, deductibles and/or coinsurance are due at the time of service

ANE-33958
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Payments of all co-pays, deductibles and/or coinsurance are due at the time of service

ANEP-33958
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PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONE-33958
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PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONEP-33958
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ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

NHE-33931
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ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

NHEP-33931
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All co-pays and deductibles are due at time of service

ANEP-33931
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CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33940
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Co-pays, deductibles and coinsurance are due at the time of service

ANE-33940
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Co-pays, deductibles and coinsurance are due at the time of service

ANEP-33940
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ALL CO-PAYMENTS ARE COLLECTED AT THE TIME OF SERVICE IN ADDITION, DUE TO THE GROWING TREND TOWARD HIGH DEDUCTIBLE PLANS, PLEASE BE AWARE THAT WE WILL COLLECT AN ESTIMATED PAYMENT FOR OUR SERVICES AT THE TIME OF CHECKOUT SHOULD YOUR INSURANCE PAY THESE PROCEDURES IN FULL, WE WILL REFUND YOUR PAYMENT UPON RECEIPT OF THE INSURANCE PAYMENT THANK YOU

NHEP-34052
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ALL CO-PAYMENTS ARE COLLECTED AT THE TIME OF SERVICE IN ADDITION, DUE TO THE GROWING TREND TOWARD HIGH DEDUCTIBLE PLANS, PLEASE BE AWARE THAT WE WILL COLLECT AN ESTIMATED PAYMENT FOR OUR SERVICES AT THE TIME OF CHECKOUT SHOULD YOUR INSURANCE PAY THESE PROCEDURES IN FULL, WE WILL REFUND YOUR PAYMENT UPON RECEIPT OF THE INSURANCE PAYMENT THANK YOU

ONEP-33976
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CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

ONEP-33939
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Co-payments are due at time of service If you would like us to bill you there is a $10 processing fee

ANE-33939
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CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

NHE-33939
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CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

NHEP-33939
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CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

ONE-33939
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Co-payments are due at time of service If you would like us to bill you there is a $10 processing fee

ANEP-33939
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All co-pays, coinsurance and/or deductibles are due at time of service Thank you Management

ANE-33930
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All co-pays, coinsurance and/or deductibles are due at time of service Thank you Management

ANEP-33930
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ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

NHE-33930
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CO-PAY IS DUE AT THE TIME OF VISIT PLEASE PRESENT YOUR PHOTO ID AND INSURANCE CARDS(S) AT TIME OF CHECK-IN THANK YOU SORRY NO CHECKS WE ACCEPT VISA, MASTERCARD AND DISCOVER

NHEP-34017_BRN
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Co-pay is due at the time of visit Please present your photo ID and insurance card(s) at time of check-in Thank you Sorry no checks We accept Visa, Mastercard and Discover

ANE-33941
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Co-pay is due at the time of visit Please present your photo ID and insurance card(s) at time of check-in Thank you Sorry no checks We accept Visa, Mastercard and Discover

ANEP-33941
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