This Service Agreement (“Agreement”) is entered into between NOVOMED MEDICAL GROUP, INC., A PROFESSIONAL CORP (“Provider”) and the undersigned patient (“Patient”), for Get Virtual Care Now service. By signing this Agreement, the Patient acknowledges and agrees to the terms, services, payment obligations, and policies outlined below.
The Patient agrees to:
NOVOMED MEDICAL GROUP, INC., A PROFESSIONAL CORP agrees to:
Patients are responsible for all charges applied to their deductible. NovoMed Concierge Medicine does not cover or waive deductible amounts. Any portion of services not paid by your insurance plan (including deductible responsibility) will be billed directly to you.
Iris Health LLC is the MSO that provides administrative and management services to NovoMed Medical Group and is not responsible for the provision of medical care. NovoMed Medical Group does not submit claims to PPO or commercial insurance plans. Any covered services that are eligible for insurance reimbursement will be billed through Blossom Ridge Medical, Inc., a separate entity that is independently contracted with applicable insurance carriers.