Billing
Payment Terms:
By submitting payment, you acknowledge and agree that Pulmonary & Critical Care Specialists, P.C. ("PCCS") may charge your credit card or account for services rendered, including copayments, deductibles, coinsurance, and outstanding balances. Payments are processed securely in compliance with PCI DSS standards. We accept cash, checks, and major credit cards both in-office and online. A $20 processing fee may apply for form completions. Missed appointments without 24-hour notice may incur a $50 fee for office visits or a $250 fee for sleep diagnostic testing. Stored payment information (if authorized) is encrypted and may be used for future charges unless revoked by written notice. For billing questions, please contact us at 248-449-7010 ext. 216.

Payments accepted in USD
Pulmonary & Critical Care Specialists, P.C.
Payment, Credit Card Acceptance, and Privacy Policy
Last Updated: 1/1/2025
1. Financial Responsibility Policy
At Pulmonary & Critical Care Specialists, P.C. ("PCCS," "we," "our," or "us"), we are committed to providing exceptional medical care. As part of your relationship with PCCS, understanding your financial responsibilities is important.
Insurance Coverage: Your health insurance policy is an agreement between you and your insurance provider. It is your responsibility to understand your coverage and benefits. We are unable to know the specific details of every plan.
Referrals: If your insurance requires a referral from your primary care provider before treatment, you are responsible for obtaining it. If you arrive without a required referral, your appointment may be rescheduled.
Payment at Time of Service:
- All predetermined copayments and outstanding balances are due at check-in.
- If you are subject to a deductible or coinsurance, you may be required to pay 50% of the estimated amount at check-out.
- In accordance with insurance agreements, required fees must be paid at the time of service.
2. Accepted Payment Methods
We accept the following forms of payment:
- Cash
- Personal checks (Note: After any returned check for insufficient funds, future payments must be made via cash or credit card.)
- Visa, MasterCard, American Express, and Discover credit cards
- Online payments through our secure payment portal (details provided at checkout, on billing statements, or upon request)
If you are unable to pay your patient responsibility at the time of your visit, your appointment may be rescheduled.
Paying Online
For your convenience, patients may securely pay balances online using our designated payment portal.
Instructions for accessing the portal will be included with your billing statement or can be provided by our front desk or billing department. Online payments are processed securely and comply with Payment Card Industry Data Security Standards (PCI DSS).
3. Credit Card on File Authorization
You may be asked to authorize PCCS to securely keep your credit card information on file for:
- Copayments
- Deductibles
- Coinsurance
- Outstanding balances
This information will be securely stored and encrypted in compliance with all applicable security standards. You may revoke authorization at any time by notifying our office in writing.
4. Fees for Additional Services
Form Completion Fee: A $20 processing fee applies for the completion of administrative forms (e.g., FMLA, disability paperwork, and medical record forms).
Missed Appointments ("No-Show"):
- $50.00 fee for missed office visits without at least 24 hours’ notice.
- $250.00 fee for missed sleep diagnostic testing without 24 hours’ notice.
We strongly encourage patients to call if they need to cancel or reschedule to avoid these fees.
5. Privacy and Security of Payment Information
Protecting your information is our top priority:
- All payment transactions, whether in-person or online, are securely processed via PCI DSS-compliant systems.
- We do not store full credit card numbers or CVV codes on our local servers.
- Any stored card information (if authorized) is encrypted and securely maintained.
- We do not sell, rent, or otherwise share your personal or financial information except:
- With authorized payment processors
- With your insurance provider for billing and claims processing
- As required by law
6. Your Rights
You have the right to:
- Request access to the information we maintain about you.
- Request correction of any inaccurate information.
- Withdraw consent for recurring or stored card payments at any time.
7. Contact Information
If you have questions about your account, payments, or this policy, please contact our billing department:
Pulmonary & Critical Care Specialists, P.C.
Phone: 248-449-7010 ext. 216