For Patients
Are you an existing patient? Do you have questions about insurance, medical bills, etc. Please scroll down for patient forms as well as details regarding the types of dental insurance we accept and how to make a payment.
Patient Forms
We know that your time is valuable, so we offer a simplified office experience with online patient forms that you can complete prior to your appointment. This will streamline your visit saving you time upon your arrival. These forms will help us get to know you and help us understand your pertinent health information, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us if you have any questions regarding patient forms or your appointment.
Insurance and Payment
Insurance
If there is any remaining balance on the account after insurance pays on the submitted claim, that amount is due in full the following billing period. Partial payments are not permitted without prior agreement by this office. If the insurance company sends you the check, you are responsible for remitting that check to Intermountain Dental, along with any balance. As a courtesy, we do not charge you up front for your insurance company’s portion.
If your insurance company denies a claim, you are responsible for remittance of the balance in full. Payment arrangements for account balances are due at the time services are rendered, so please bring your insurance card with you to your first visit.