An agreement between a patient and a provider regarding payment responsibilities is known as what?

The term that best describes an agreement between a patient and a provider regarding payment responsibilities is referred to as a Patient Financial Responsibility Agreement. This document outlines the financial obligations of the patient for the services rendered and specifies what the patient will be responsible for paying, such as deductibles, copayments, or any balances not covered by insurance. It serves to clarify the financial expectations and responsibilities upfront, thereby minimizing any misunderstandings about billing and payment.

While other options may relate to financial agreements or policies in healthcare, they do not explicitly denote the specific contractual relationship that the Patient Financial Responsibility Agreement represents. For example, a payment policy might refer to a broader institutional guideline on how payments are handled, without detailing individual responsibility. Financial consent generally pertains to agreeing to the terms of treatment, which may touch on costs but does not specifically address payment responsibilities. An insurance declaration often pertains to the type of coverage a patient has, rather than the financial obligations they have to the provider. This distinction makes the Patient Financial Responsibility Agreement the most accurate choice.