Office & Insurance Policies
Click here for Office & Insurance Poicies Consent Form.
We are a same day sick scheduling office. Our phones turn on at 8:15 AM. If you call for a sick appointment in the morning, we normally can see your child that day. After hours evening Sick appointments are only scheduled after 3:00 PM. Well appointments need to be made well in advance, particularly if you require an After hours evening or After hours Saturday time. Please call our office 24 hours in advance if you will not be keeping an appointment, so that time slot can be used for another child. We have a $25 No-Show fee. In order to keep other children’s wait times to a minimum, patients arriving more than 15 minutes late may be required to reschedule.
As a courtesy, we participate with many insurance plans and accept their schedule of benefits. However, we do require payment at the time of service if we cannot verify your child’s insurance. If your policy requires you to choose a physician, one of our doctors must be the primary care physician at the time of the appointment. New insurance information must be presented at the time you sign-in for your child’s visit. We allow 30 days from birth for newborn coverage to take effect; after that time, you become responsible for payment.
Since medical insurance is a contract between the patient and the insurance company, we expect insured patients to be familiar with their policy, its benefits, limitations and referral requirements. If insurance payment is not received within 45 days of submission of the claim, the balance becomes your responsibility. It is your responsibility to make sure your insurance company pays on time. Non-emergency referrals require 48 hours to complete. Referral forms (if required by your policy) must be picked up prior to your appointment with the specialist. They will not be faxed, or mailed.
I understand that, in most cases, my insurance is designed to reduce my cost not eliminate it. I also understand that there may be charges for services not covered by my insurance that I am responsible for. Payment of co-pays, co-insurance, waived tests, and deductibles is due at the time of service. Payment of balances is due upon receipt of my statement. I am financially responsible for all charges not covered by this assignment and all charges if complete or accurate insurance information is not provided by me. I also understand that in the event this account is referred for collection action, I will be responsible for payment of the applicable collection agency fees. If I have questions about a denial or amount paid, initial questions should be directed to my insurance company. Please notify our billing department if a claim is going to be reprocessed.