Payment Policy

 

Due to the continuing changes in the healthcare industry, we would like to provide you with our practice billing policies and how they relate to you. Please be advised that this is a private practice setting; and although we bill many insurance companies, the parent or legal guardian (unless the child is over the age of 18) is responsible for any charges not covered by the insurance.

 

Lab work and hospital procedures: Please be advised that many insurance companies require you to go 

to a certain lab and/or hospital. You will be responsible to pay your bill if you go to a lab and /or hospital 

that is not coved by your insurance carrier. Please check your insurance company to se where you 

should go for these services. 

 

If we do not participate with your insurance carrier: The patient is responsible for payment in full at the 

time of services, no exceptions will be given. We will gladly provide you with the necessary information 

for you to submit to your insurance company for reimbursement. 

 

Insurance that requires Primary Care Physicians: If you have an insurance company that requires a 

Primary Care Physician to be chosen, it is your responsibility to be sure that it is correctly listed. We will 

not be able to see you at the schedule time if the PCP is not correct. 

 

Co-pays and Co-Insurance: If you have insurance that requires a co-pay or co-insurance, the amount 

due must be paid at the time of service. 

 

If you do not have insurance coverage: Payment must be made at the time of service. In many cases, 

our staff can refer you to the appropriate program to receive assistance so that you may initiate the 

process for healthcare coverage for your child. 

 

Our Office participates with the following insurance companies:

Aetna

Anthem BC/BS

Assurant Health

Carenet

Cigna

Champ VA

Coresource

GHI

Golden Rule

Health and Welfare Benefit

MD IPA

VA Medicaid

One Net

Optima Health

PHCS

Southern Health

Mail Handlers

Tricare

United Healthcare

VA Health Network

All VA Medicaid HMO's

Questions about your bill

 

What billing or insurance information will I receive?

​You will receive a copy of your bill. After your insurance has paid, we'll provide you with a monthly statement of your account.

How long will it take to get things settled with the insurance company?

Generally, it takes from 45 to 60 days to obtain payment from an insurance carrier.​

​Why am I getting bills from physicians?

​Each physician who provides professional services will send you a separate bill from his or her office. These physicians will include:

- your own physician
- other physicians who conducted tests and procedures
- consulting physicians chosen by your primary physician to read and interpret test results.

These physicians may include specialists in anesthesiology, cardiology, emergency medicine, nuclear medicine, pathology, radiology, or urodynamics. You will be responsible for paying these bills as well.

​I received a notice that my insurance company has paid on my bill -- but I can't understand how they calculated their payment amount. Do you know?

​If we have received any such information from your insurance company, we'll be glad to share it with you. However, for answers to any questions about insurance payments, deductibles, or co-payments, you generally need to check with your insurance company.