We know your time is precious, and the last thing you want to do is wait unnecessarily when you’re not feeling well . So, we have streamlined the process of verifying eligibility and benefits for our insurance patients.
The Health+Vitality Center — List of Providers:
If you do not have one of these plans, don’t worry! We can still take care of you. Please note that payment in full is expected at the time of your visit. We will submit a courtesy claim to your insurance company for possible reimbursement of your office visit.
In order to avoid any interruption to your visit, you must present your valid insurance card at your initial visit, and any time your benefits change. If you do not have your insurance card you will need to pay cash for all applicable charges the day of service. You agree to provide accurate up to date insurance information. If your claim is rejected due to incorrect information, or coverage not in effect, you are responsible for the charges.our
To verify coverage please call your insurance provider prior to your appointment. You will need:
Health and Vitality Center ID 26-3568534
Dr. Shiva Lalezarzadeh
Co-pays are due at time of appointment. Please confirm your co-pay with your insurance provider prior to your visit. It is your responsibility to know your insurance plan. All co-insurance, deductibles, and non-covered expenses will be paid in accordance with our office policies.
All self-pay expenses are due at time of visit. This expense will vary based on the complexity of your visit and additional labs. Please be aware that some of the services you receive may not be covered by your insurance plan.
All checks must be made out to Health and Vitality Center. A service charge of $30.00 will be assessed for each returned check.
For “In Network” Patients, we will submit claims on your behalf to your insurance company for payment. Your insurance company may require that you supply certain information directly. It is your responsibility to coordinate your benefits with your carrier. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim.
If your insurance changes, please notify us before your next visit, so we can update your insurance information in our system. Providing us with this information prior to your visit will reduce your wait time. As a reminder, if your coverage changes, you will need to verify that Dr. Lalezar is included in your insurance plan.
We are committed to providing the best possible treatment for our patients at a fair and reasonable cost. Payment is expected at the time of service unless prior arrangements have been made with our business office. If your account is more than 90 days past due, your account may be turned over to an outside collection agency. These agencies charge fees. You agree to be liable for all such collection expense, legal fees, and court costs.
Keeping your regularly scheduled appointment is important – for your health, for the convenience of other patients, and for more efficient operations at our office. If you must cancel or reschedule your appointment, please let us know 48 hours before your scheduled time.
New Patient Forms
If possible, please download and fill out the forms below. Bring the completed forms with you to your first visit.