Financial Policies

Thank you for choosing us to care for your children.  We consider it an honor and a privilege to provide pediatric healthcare services for your family.  Our goal is to partner with you in raising healthy, safe children.  We strive to provide the most advanced medical care for your children, to encourage and equip you as your child’s parent, and to do so in an efficient, cost-effective manner with a high level of personal care and service.  In order to best serve all of our patients and to continue to fulfill our mission, we have established the following financial policies.  Please read the following and feel free to ask any questions that you may have.

Payment for all services is due at the time of your visit.  For your convenience, we accept cash, checks, Visa, Master Card, Discover and American Express. As a courtesy to you, we will bill your insurance carrier; please realize that you are ultimately responsible for payment for all services provided.  As the responsible party, please understand the following:

  1. We participate in most insurance plans; an updated list is available on our website. If you are not insured by a plan that we participate with or do not have insurance, payment in full is expected at each visit. If you are insured by a plan with which we participate but don’t have an up-to-date insurance card with you at the time of your visit, payment in full for each visit may be required until we can verify your coverage.
  2. Please bring your current insurance card to every visit. You are responsible for notifying us of any changes in your coverage.  We will bill and accept payment from your insurance company.  If the insurance company you designate is incorrect or you fail to notify us of changes in your insurance coverage, you will be responsible for payment for the visit and for submitting charges to the correct insurance company.  If you want us to re-bill the charges to another insurance company for you, there will be a $15.00 rebilling fee.
  3. All copayments and all balances due must be paid at the time of service. We are required by contract with your insurance company to collect all copayments for each child at each visit at the time of the visit.  There will be an additional $5.00 billing fee added for all copayments not paid by the end of the next business day.
  4. If your insurance requires assignment to a primary-care provider, you must be sure we are listed as the primary care provider for your child prior to your visit. You will be responsible for all charges not covered by your insurance company because we are not your primary care provider.
  5. We do not submit to secondary insurance plans unless we are required by contract to do so. You are responsible for any balance remaining on your account after your primary insurance has paid. We will be happy to provide you with a receipt to submit for reimbursement. You will receive a check directly from your secondary insurance plan once you have filed your claim.
  6. We consider the person bringing the child in for a visit to be the responsible party for any financial charges; we do not bill divorced or separated parents or any other parties. We will not become involved in any legal or payment disputes between guardians.
  7. It is your responsibility to understand your benefit plan and what services are covered. We will not become involved in disputes between you and your insurance company.  We will provide accurate and truthful information in accord with all applicable laws, contracts and coding guidelines to facilitate accurate claim processing and payment.
  8. If your insurance carrier does not remit payment within 60 days, the balance will become your responsibility.
  9. Patient balances are billed immediately after payment by your insurance plan. Payment is due within 15 days of receipt of your statement.
  10. Unless you have made previous payment arrangements with our office, any patient balance over 60 days will be forwarded to a collection agency. You will be responsible for all collection and legal fees, and your credit may be affected.
  11. Unless payment arrangements have been made with our office, patients with balances over 90 days old may be terminated from our practice. You will be notified that you have 30 days to find a new doctor for your child.  We will see your child only for urgent needs during those 30 days.