Credit Card on File Policy

West Georgia Dermatology is committed to efficiency and reducing waste. Our goal is to make the billing process as simple as possible. Effective December 1st, 2023, we require that you provide a card on file with our office. We accept all major Credit Cards, debit cards, Health Savings Account (HSA) card, or Flexible spending account (FSA) cards.  All patients with insurance plans are required to have card on file regardless of insurance or visit type.  

When you come in, we will scan your card and your payment information will be stored in our HIPAA compliant, secure software for future transactions. Office personnel will not have access to your card.

For your protection, only the last 4 digits of your card will show in our system.  

Card on File will be used to pay:

  • Estimated Patient Responsibility on the day of service: We estimate Patient’s responsibility for the services rendered.  This estimated fee is charged to your card-on-file on the day of your service.

  • Remaining Balance after Insurance completes processing your claim:  Once your insurance completes processing your claim, they will send an Explanation of Benefits (EOB) to both you and our office showing your total patient responsibility.  We use this to determine your remaining balance due, which will be applied to your card-on-file.

How does the card on file work?

  • Following your visit, we will bill your insurance company for the services rendered.

  • After your insurance completes processing the claim and our office receives the EOB, you will receive a notice via email for any remaining balance on your account.

  • You can call our office at 770-838-9333 within 5 days of receiving the email, for any questions or clarifications.

  • If you do not take action within 5 days, your card on file will be charged for the balance on your account.

  • Any Credit on your account after your insurance claim has been adjusted will be refunded to the card on file.

Frequently Asked Questions Regarding the Card on File Agreement