OFFICE AND INSURANCE POLICIES

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 you do not have your child's current card. 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.

It is important that you understand that, in most cases, your insurance is designed to reduce your cost not eliminate it. Payment of co-pays, waived tests, and deductibles is due at the time of service. Payment of balances is due upon receipt of your statement. If you have questions about a denial or amount paid, initial questions should be directed to your insurance company. Please notify our billing department if a claim is going to be reprocessed.

If you call for a sick appointment in the morning, we normally can see your child that day. Well appointments need to be made well in advance, particularly if you require an evening or Saturday time. Please call our office as soon as possible if you will not be keeping an appointment so that time 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.