I visit the practice with someone. The patient arrived 5 minutes before the appointment. This was her first visit. She filled out the questionnaire and inquired about if her insurance was acceptable. They verified and approved the insurance and never mentioned the $179. 95 copay. When she arrived she was instructed to check in via online portal. She was having difficulty connecting to the wifi, but never informed that within a certain time if not checked in her appointment would be cancelled. She checked in and was then directed to pay, but the portal denied her payment twice. I put in my card and the portal denied the payment. My thought is the office had already canceled the appointment without saying anything. She was informed when she went to the reception window that to much time had passed and they would have to reschedule her appointment. There was a note next to the window that read, " online check in mandatory, unless you're paying with cash, and then they could check you in." The five staff members sitting behind the desk could have informed her about the cash payment option when she arrived and realized she was having trouble checking in. They could have informed her of the pending cancellation if not checked in within a certain time, but didn't. God knows they charge a $50 no show fee or last minute cancellation. She should have been informed of the $179.95 copay when they informed her of the acceptance of her insurance. This was very poor, unprofessional and rude behavior. She drove 40 minutes from her home to get to this practice and not be seen. They have lost a patient and a potential client. They are successful enough that they probably don't care, but I would hope that they read this review and make some significant adjustments to this check-in, pre appointment information and front desk behavior. read more