We’ve put together quick lists of documents to bring to your Arizona Liver Health appointments. This information usually depends on the type of appointment and whether you’ve been to Arizona Liver Health before.
Initial Consultation
If it’s your first time at AZ Liver and you’re visiting for a screening or consultation, please bring:
- Photo ID
- Proof of address, if different from your photo ID address.
- Your medical insurance card or other applicable information (optional)
- New Patient Information Packet:
- Patient Information Forms
- Privacy/HIPAA Acknowledgement Form
- Pharmacy contact information
Treatments and Follow-Up Visits
If you’re coming in for a follow-up visit, please bring:
- Photo ID
- Your medical insurance card or other applicable information
If you have any questions regarding these forms or what to bring, please feel free to contact Arizona Liver Health, for Phoenix-Metro (480) 470-4000, and for Tucson (520) 485-4000. Our staff will be happy to assist you.
Our Financial Policies
Arizona Liver Health has a responsibility to provide quality healthcare services to you, our patients. In the interest of maintaining a good doctor-patient relationship and continuing the delivery of quality healthcare, we ask that you proactively fulfill any financial obligations to our practice.
We believe that the following policies allow the flexibility that our patients need. We encourage you to talk to our office staff if you have any payment-related questions. Discussing these issues early on in your treatment process will prevent most concerns or misunderstandings.
Insurance
You will be asked to pay your anticipated responsibility at time service is rendered. As a courtesy to our patients, we will file claims on all visits performed by Arizona Liver staff at our offices. When we file a claim on your behalf, it is with the understanding that your insurance company will pay AZ Liver Health directly. You are responsible for payment of all deductibles, co-insurance, co-pays and non-covered services.
After a service has been provided, we will bill your insurance carrier. Your insurance carrier will review the bill and, in most cases, pay their portion within 90 days.
Please remember: Insurance coverage is a contract between the patient and the insurance company. The ultimate responsibility for understanding your insurance benefits — and for payment — rests with you.
Private Pay
Patients who do not have insurance are expected to pay for all services at time of service. We understand that individual situations may make it difficult to meet these financial expectations and are happy to discuss other payment arrangements as needed.
Returned Checks
Your account will be charged a $35 fee for each returned check. In addition, you will be asked to bring cash to our office to cover the returned check and the fee.
Other Forms
- New Patient Packet
- Records Release Form
- HIPAA form
Maps/Locations of some commonly used resources are below. (we will need to give you these to upload)
