Financial Policy
PAYMENT POLICY: Pediatric Associates will submit all claims to any insurance carrier we are contracted with. Please see the list of those carriers on our website. Any balances due after insurance payment are the responsibility of the patient and are due upon receipt. Rebilling outstanding balances are subject to additional fees.
If we are not contracted with your carrier, or you are uninsured, then payment is expected at time of service. When payment is made in full at the time of service, a 30% discount will be applied. We can supply you with a copy of your bill containing all information necessary for processing your claim for you to submit if you do carry non-contracted insurance. We cannot guarantee payment or amount paid by your insurance carrier. Patients should check with their insurance carrier before any services are provided.
All co-pays and co-insurances are due at the time of your visit per your agreement with your insurance carrier. Co-pays not made are subject to a rebilling service charge. We accept cash, checks, Visa, MasterCard, and Discover for your convenience.
We are only able to bill the person listed on your child’s account. We cannot be responsible for any other reimbursement arrangements made between parents or other individuals.
LARGE PATIENT BALANCE POLICY: An account balance of $500 or more may prevent non-medically necessary appointments from being scheduled until the balance is below $500. Account balances under $500 will not prevent appointments from being scheduled, however, should be paid upon receipt of the bill. If you have a balance, please speak with our front office staff to discuss payment options.
RETURNED CHECK POLICY: Checks returned to our office for insufficient funds will result in a $25.00 fee being charged to your account. A balance due resulting from a returned check is due within 10 days to avoid further collection activities.
NO-SHOW/SHORT-NOTICE CANCELLATION & LATE ARRIVAL TO APPOINTMENT POLICY: We request that you arrive 15 minutes prior to your appointment to allow sufficient time for check in and rooming by our staff. Patients who arrive after their scheduled visit time may be rescheduled to the next available appointment that is convenient to the family AND the provider. A missed appointment, short-notice cancellation (less than 24 hours notice prior to scheduled appointments), and repeated late arrivals will be assessed a fee as outlined below. Missed and late arrivals to appointments delay care to those who are on time and waiting.
The following is our policy on missed appointments, short-notice cancellations, and repeated late arrivals.
First occurrence: No Charge
Second occurrence within 12 months: $40 Service Charge
Third occurrence within 12 months: Patient/Family Discharge
Updated 12/22/20
