See Notice of Privacy Practices
The patient is responsible for the knowledge regarding Health Care Coverage including: what type of co-pay or deductibles are due from you; where we can send for child for lab and X-ray testing; which hospitals we can admit your child to; where your medical claims need to be mailed to be paid; what specialty physicians we can refer your child to. Many plans have limitations on drug prescriptions. Please be aware of what pharmacy we can used for your prescriptions. The policy holder is responsible for all the above information. It is your responsibility to notify us of any changes.
You are responsible for the knowledge regarding "Well Baby Care," immunizations, other injectables and other office visits. Many health care insurance companies limit these services.
There are many health care plans in which we, the Provider, are not required to submit your insurance claims; often we submit as a courtesy to our patients. We will submit the claim one time; if payment has not been received within 30 days the parent will be billed and payment is expected immediately. Prior to your appointment please make sure that we are a provider of your medical insurance. We belong to many HMO and PPO and POS plans. We submit claims for payment directly to the plan. Generally within two working days the claim from your visit to our office has been mailed to the insurance plan.
We ask that you notify us as soon as possible with Health Care coverage changes regarding your insurance company. You are responsible for providing us with updated and accurate information regarding your home address, current telephone numbers for home and employment. You will need to provide us with a copy of your current insurance card each time you visit our office. We realize that this may be annoying to you; however, it is necessary for us to make this part of our routine, as our payment relies on your information provided to our office. If you have an insurance card that indicates any other physician's name other than our group, you will need to make payment at the time of service. Our group will not be paid by your insurance carrier if our name is not listed on your card. We can provide you with a detailed receipt that you may submit to your insurance carrier for reimbursement.
We participate in most of the local insurance plans. If you have specific questions regarding these plans, please contact us at 899-0000, prompt #4. Thank you.