Payment is expected at the time of service. We accept cash, personal checks, credit cards (Visa and Mastercard), and check cards. There is a 30% courtesy discount for all self-pay patients paying in full at time of service.
We will gladly file insurance for patients who participate in our managed care plans after we have verified their benefits. In order to file for you, we require proof of insurance prior to the appointment with the physician. We require payment of co-pays or deductibles at time of service. Please contact the office to determine if we are providers for your managed care program.
It is the goal of PPPC that the services charged to your account accurately reflect the level of service provided to your child, as documented on the child’s chart. Per current industry standards, the level of service is determined by evaluating the following components:
MEDICAL DECISION MAKING
COORDINATION OF CARE
NATURE OF PRESENTING PROBLEM
Because we can not predict exactly what services will be provided for your child, we can not precisely tell you ahead of time how much your charges will be. For example: if a child comes for a re-check visit, but has new symptoms that are not related to the original diagnosis and the child is treated or diagnosed for those new symptoms, the charges for the re-check visit will reflect the higher level of service provided.
In addition, our charges reflect the primary reason for the visit (ie: well check-up vs. sick visit).
Account statements are sent each month to all patients with balances that are patient responsible. Insurance billable items are not billed to you until your insurance company informs us that the charges are your responsibility. If you believe that we are billing you in error please let us know immediately.
We encourage all patients to make an appointment, so we have adequate time to see everyone. If our schedule permits, we can ‘squeeze in’ a limited number of walk-in patients. Walk-ins will always be seen after scheduled patients, and we do not guarantee that walk-in patients can be seen.
Patients who ask to be seen by a physician without a scheduled appointment will be charged a $45.00 walk-in fee.
Copies of Charge Tickets
If you would like an itemized copy of the services provided to you, please ask for one when you check-out. If at a later date you require copies from us, there will be a charge of $15.00 for each charge ticket.
Patients whose checks are returned by our bank, will be charged a $15.00 fee.
Refunds are issued to all patient accounts that have a credit balance of over $50.00. When possible, this is done at the beginning of each month.
Accounts with balances older than six months, which have not had payment on the oldest balance for that period of time, may be turned over to a collection agency.
Our price schedule is reviewed on an annual basis.
We regret that due to the Healthcare Insurance Portability and Accountability Act (HIPAA), we are not able to offer this time honored consideration to colleagues and friends for whom we file insurance claims.
IF YOU FEEL THAT, BECAUSE OF YOUR PERSONAL CIRCUMSTANCES, YOU WILL NOT BE ABLE TO ABIDE BY THE POLICY STATED ABOVE, PLEASE TALK TO US ABOUT MAKING SPECIAL PAYMENT ARRANGEMENTS FOR YOUR FAMILY.
Thank you for choosing Pediatric Physicians, PC.