Policy document

Billing Authorizations

Effective date:

These policies apply to the organizations listed in our Notice of Privacy Practices.

1. Recurring payment authorization

By agreeing to these authorizations, you authorize automatic recurring charges to your card on file for agreed care charges and applicable appointment fees that you owe, subject to your insurance plan and applicable law. This authorization covers future visits until you revoke it. You must be authorized to use the card.

Use our secure billing process to add or update a card. Do not send card details by email or text. Receipts are available on request.

Canceling card authorization

To stop future charges under your card authorization, email hello@leanmedical.ai. This does not reverse charges already initiated, cancel appointments or erase amounts owed. Contact us to arrange another payment method.

Failed payments and disputes

A failed payment does not automatically end your treatment. We will contact you to discuss payment arrangements and any effect on ongoing care.

Contact us about incorrect or unauthorized charges. You retain your rights to dispute charges with your bank, card issuer or insurer. You do not need to wait for our review, and their deadlines still apply.

2. Insurance authorization and benefits

Keep your insurance information current and confirm coverage, network status and expected costs before care. Eligibility checks and claim submissions do not guarantee payment. For out-of-network care, confirm the billing arrangements with us and your insurer.

When you use insurance, you authorize the practice to submit claims to your health plan for services provided. You authorize us to send medical record information to your health plan as needed to file and support those claims, subject to applicable privacy requirements and any separate authorization required by law. You assign applicable insurance benefits to the practice and authorize payment directly to the practice, as allowed by your plan and law. If your insurer pays you for services we billed, contact us to reconcile the balance.

If a service is paid in full out of pocket, you may ask us not to disclose information about that service to your health plan for payment or health-care operations. We will honor the restriction unless disclosure is required by law. Tell us before a claim is sent. See our Notice of Privacy Practices for details.

Medicare, Medicare Advantage and Medi-Cal

The practice currently does not accept or bill these programs. Tell us before scheduling if you have this coverage, even if you plan to pay yourself, so we can review available arrangements. Self-pay does not waive program protections.

Self-pay estimates

If you are uninsured or will not use insurance, you may request a Good Faith Estimate. We provide estimates when required. Eligible bills at least $400 above the estimate may qualify for a federal dispute process. Read CMS information about estimates and billing rights.

For questions or a copy of these policies, contact hello@leanmedical.ai or (628) 204-3449.