Financial Policies
Pediatric Associates appreciates that you have chosen to entrust us with the care of your child(ren). We are happy to provide experienced infant, toddler, child, and adolescent healthcare services to your family.
Health Insurance policies are complex. There are many different types of insurances available. It is important that you understand your insurance plan and our financial policies as well. Since it is our primary goal to provide the best healthcare for your children, we provide and offer a variety of services in our office. These services include a variety of labs, tests, and procedures. Some of these services have additional charges associated with them. Most are recognized by insurance companies. However, you may be required to pay additional amounts for these services depending on the type of insurance plan you have and your coverage.
If you would like more information on the costs involved with the medical services this practice provides, please view the following resource:
Questions about billing? Email support@pedihc.com
Newborn Coverage
Newborn babies need to be added to your insurance plan within 30 days of birth to ensure coverage. We understand that it takes time to get added to the plan and receive an insurance card. When you receive your newborn’s insurance information or card, please contact us as soon as possible with this information.
Co-Payments
If your insurance policy requires a co-pay at each visit, we will collect this co-pay when you check in for your appointment. If you are unable to pay your co-pay at check in, an envelope will be provided to you for remittance of your co-pay to Pediatric Associates within 48 hours. A $10.00 late fee will be added to your statement if payment is not received within 48 hours of the date of service.
Insurance Deductibles
A deductible is a sum of money a person pays before their insurance company will provide the benefits outlined in the insurance policy. If a patient’s health insurance policy requires a deductible be met, the guarantor on the account will be billed by Pediatric Associates for the uncovered amount.
Timely Payment
Any outstanding balance is required to be paid before your next office visit. If the balance is not paid or reasonable payment arrangements are not made within 90 days, your account will be turned over to our collection agency. Furthermore, Pediatric Associates may not schedule any appointments for your children until the outstanding balance is paid.
All patient balances are due in full when billed. If you ever feel the amount does not reflect the amount you owe, please contact us (link to: About Us). We will be happy to review the invoice with you and answer your questions. If you have overpaid for some reason, a credit will be issued on the account. If you ever want us to refund that amount to you, just let us know and we will get the refund to you within 10 days.
Insurance Claims Processing
For your convenience, we will file your claims for you when all the correct information is received as long as our providers are contracted with your healthcare insurance. Once your claim has been filed to your insurance company, claims are usually paid in 30 days. Our office will make every attempt to collect payment from your insurance, but if all attempts fail,we will rely on you to contact your insurance company to get claims paid in a timely manner. If you have questions regarding payment of your claim once it is received at our office, you will be better served by calling your insurance company with your questions, not our billing office. They will be better able to explain your benefits. Also with HIPPA regulations, insurance companies will not give much information to our office.
A copy of our financial policy is provided below:
Call (207) 784-5782 to schedule an appointment!