Initial Application Processing Fee (IAP): $45 (by patient)    
Monthly Processing Fee (MFP): $4 (by patient)    
Client Enrollment Start Fee (CES): $89 Modification Fee (MOD): $49
Discount Rate: 9.9% (Plan A) Reserve Fund 25% (Plan A)
Discount Rate: 11.9% (Plan B) Reserve Fund None (Plan B)
Monthly Payment: Not to exceed $300 Guaranty Up to $4000
Term: Not to exceed 15 months Monthly Payment Date 1st or 15th (choose either)



    1. Offer our plan to all patients who are unable to make immediate payment for your treatments.

    2. Explain details to patient based upon above guidelines.

    3. If they are agreeable, you and your patient determine payment terms that best fit the patient’s budget.

    4. Patient Plan and Information Form should be filled out completely and accurately and signed.  Also make a copy of picture ID and a voided imprinted check from their personal checking account.

    5. Fax Plan, Information Form, ID and voided check to us at 516-750-9751.

    6. Keep all originals of all documents in your patient file.  Give copies to the patient for their records.

    7. Collect down payment (if any) and Initial Application Processing Fee (IAP) from patient.  You should keep this payment—we will debit it from your account on your next statement.

    8. Provided everything is in order and all forms are complete and accurate, treatments can begin  immediately.  Confirmation of all details will be processed and acknowledged quickly.

    9. Monthly, we will send you a statement and check reflecting all guaranteed payments for all patients.

    10.  You will not take future payments from patients enrolled in our plan.  If they (or their insurance company) attempt to make payments to you, forward them directly to us.

    11.  If any changes in treatment or obligations is desired, we must be notified in writing.  Modifications to all plans must be consented to by all parties and are subject to MOD fee.

    12.  When additional forms or materials are needed, please notify us immediately.

    13.  Whenever any issues or questions arise call us toll free at 1-877-750-4199 or email us at info@propayplans.comWe will respond immediately.


It's That Simple!


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