DBA : Optilife, Inc.
Anaheim, CA 92806
ph: 714-520-9759
fax: 714 948 2368
gawdibel
2 ch
To avoid filling out the information each time, as long as your CC information does not change. Click on: PAYMENT FORM, Then you can fill it out. When you finish doing so , please click the submit button, and it will be sent to us. It authorizes our office to use your charge card whenever you incur charges. We put the information into secure encrypted convergepay.com, so it is seen only 1 time by us.
2. Or: To pay any outstanding balance: copy the following url. Then paste into your browser to take to secure encrypted convergepay.com. Each time you might need to pay a balance overdue, you fill out your card information: (you probably do not need to fill in the addresses part)
www.convergepay.com/hosted-payments/?ssl_txn_auth_token=4%2Bsl%2FsaVSJq4v885PM6vNAAAAX8KRHQ6%EF%BB%BFl%2FsaVSJq4v885PM#!/payment-method
3. Payment toward outstanding amount due Dr Di Bella... with Paypal. by clicking on the subsequent highlighted area
PAYMENT FOR SERVICES
Your insurance company requires that you pay your copay no later than the day of your appointment. Typical copays range from 0 to $84, but then there may also be annual deductables.
Please be advised that tele-psychiatry services might not be covered under your plan. Please be sure to check with your insurance provider if you are covered for such services. If not covered, the out-of-pocket cost for a follow-up appointment is $85.
For the video chat, Dr D will text you a link. If no answer after about 5 minutes , he will call by telephone ).If you are not answering the doctor's call, there will be a charge of $50, like all missed appts.
If you make a same-day cancellation, you will be charged $50.
Please make use of the appointment so other patients are not deprived. Thank you
Pay what you owe : with your Paypal account , there is no fee for set up or paying for services , If no paypal account then set it up.
3. Payment toward outstanding amount due Dr Di Bella... with Paypal. by clicking on the subsequent highlighted area
Copyright 2012 Dr. Geoffrey Di Bella. All rights reserved.
DBA : Optilife, Inc.
Anaheim, CA 92806
ph: 714-520-9759
fax: 714 948 2368
gawdibel