Navigating Your Finances with Ease
Billing & Insurance
Navigating your finances with ease
Billing & Insurance
Pay Your Bill
Conveniently pay your bills online.
Verify Coverage
Find out which insurance plans we accept.
Pay Your Bill
Conveniently pay your bills online.
Verify Coverage
Find out which insurance plans we accept.
Payment Options
Please feel free to choose the payment method that works best for you. If you have any questions or need further assistance, don’t hesitate to reach out to our office.
Pay Online
Pay your bills online using our bill pay service or pay through Phreesia.
Pay in Person
Visit our office to pay your bill in person. Our friendly staff will assist you with your payment and answer any questions.
Pay by Mail
Use a check or credit card to pay your bill by mail. Just look for the bill pay code and amount due printed on your statement.
Additional Charges
Understanding the intricacies of billing can be a complex journey. We want to ensure transparency and inform you that some procedures or services are billed separately from your regular office visit.
Depending on your insurance benefits, you may have a share in covering the cost of these services. If you are unsure if your insurance covers these procedures and services, please call the customer service number on your insurance card.
Below, we’ve outlined common services and procedures that may result in additional charges alongside your regular office visit.
Newborn Visits
Newborn well visits begin at one month of age, and until then, we will see your baby at scheduled newborn follow-up visits, which may incur additional charges for:
- Blood draw (if a repeat PKU is needed)
- Frenotomy (tongue clip)
- Foreskin manipulation
- Silver nitrate cauterizations of the navel
Well Visits
- Urinalysis
- CBC
- Blood draws
- Vaccine administrations
- Developmental screening
- Hearing evaluation
- Vision screening
- ADHD
- Depression
- Anxiety disorder
- Substance abuse
*Should your child require treatment for an acute or chronic illness during their scheduled well visit, there may be an additional charge for a sick visit.
Sick Visits
- Urinalysis
- CBC
- Blood draws
- Strep tests
- Flu tests
- RSV tests
- Mono tests
- Any medications given
- Administration of an injection
- Removal of wax (cerumen) in the ear
- Removal of any foreign object in the ears, nose, or skin
- Nebulizer treatments
- Spirometry
- Pulse oximetry
- Drainage of an abscess
- Burn dressings
- Treatment of nursemaid’s elbow
- Application of splints
- Wart removal
- Inhaler use instruction, if applicable
Medical Record Release
If you are transferring out of the practice, please request a medical record release. The fee for transferring medical records out is $6.50 for electronic retrieval via secure email or $20.00 for a paper copy. The total fee must be paid prior to the emailing, picking up, or mailing out of records. Please allow 1 week for processing and sending of records.
Missed Appointments & Cancellations
We do our best to accommodate your schedule and kindly ask that you cancel in advance to allow other patients to be seen. The following fees apply for missed appointments or late cancellations.
| Fee | Appointment Type | Cancellation Window |
|---|---|---|
| $25 | Pre-Booked Sick Visit Pre-Booked Sick Follow-Up | ≤ 1 hr notice |
| $50 | Well Visit / Physical Parent Consults Medication Checks | ≤ 24 hrs notice |
Form Fees
As healthcare keeps changing and demands more time and resources for tasks that aren’t covered by insurance, we’ve introduced form fees. These fees help us concentrate on giving your child the best care while keeping our administrative tasks running smoothly.
Most forms are completed within 3-5 business days. If you need your form completed in less than 48 hours, we will charge an additional $10.00 expedited fee.
$10
Allergy forms
Asthma forms
School medication forms
Disability forms
Adoption forms (basic)
Hospital volunteer form
Daycare summary of health forms
$15
Sports forms
Camp forms
College forms
504 plans
$20
School homebound forms
Travel abroad forms
Provider letters
Adoption forms (extensive)
Insurance
Check if we take your insurance plan. If your plan is on neither list, please call the office to verify acceptance with our billing department.
- Aetna
- Anthem Blue Cross Blue Shield
- Cigna
- Cigna + Oscar
- First Health
- Humana
- Kaiser (Dual Choice PPO only)
- MultiPlan
- PHCS
- Tricare
- United HealthCare
- Marketplace plans
- Aetna Whole Health
- United Healthcare Exchange
- Anthem Pathway
- Cigna Connect
- Amerigroup
- Caresource
- Medicaid
- Peachstate
- Kaiser HMO and Added Choice POS
- Marketplace plans
- Oscar
- Ambetter
- CareSource Marketplace
Billing & Insurance FAQs
Here are some common questions that arise around billing and insurance. If you have additional questions, please call our office.
I have medical insurance, so why do I owe anything?
- Your coverage may include a deductible or coinsurance.
- The services your child received may not be covered by your insurance, so you are responsible for the balance due. We’ve provided a list of services you may be charged for above; however, it’s important to check with your insurance company to find out what services you are responsible for covering.
What is a deductible?
A deductible is an amount set by your insurance plan. It might apply to all services or just some of them. For example, there could be a $200 deductible for lab services. Your insurance won’t cover lab services until you’ve paid $200. To check if you have a deductible, please contact your insurance company.
What is coinsurance?
Coinsurance means that for some services your insurance doesn’t fully cover, you’ll pay a certain percentage, and your insurance will cover the rest. Your insurance company can tell you which services this applies to.
What is a copay?
A copay is a fixed amount of money that you pay out of pocket for a specific healthcare service, such as a doctor’s visit or medication, as determined by your insurance plan. It’s typically a set fee that you contribute toward the cost of the service, while your insurance covers the remaining expenses. Contact your insurance company to find out what your copay amount is.
Why do I have to pay my copay every time my child is seen?
Your copay is part of the agreement between you and your insurance company, according to your specific plan. It is also an obligation that we have as part of our contract with your insurance company to collect a copay at each visit.
What happens if I miss a payment?
You may receive letters from our statement company, POS (Professional Office Services), notifying you of balances 30-60 days, 61-90 days, and 121 days overdue before the balance is sent to our collection company, PDQ, for collection.
If I think my insurance company should have paid you, what should I do?
Please call your insurance company and discuss it with them.
Will the doctor tell me if a service is not covered by my insurance company?
Unfortunately, our doctors and other clinical staff have no way of knowing what is or is not covered by your insurance since the individual plans are so varied. There is no one-size-fits-all coverage. To know if a service is covered under your plan, please call your insurance company.
What if I am divorced or separated and believe my former spouse is responsible for medical bill payments?
Statements are sent only to the parent who lives with the child, and we consider that parent the responsible party. If that parent feels that the former spouse should pay the balance or your divorce decree says the former spouse is responsible, you must make arrangements between yourselves to pay the financial obligation for services. Only one statement is mailed, and payment is due when the statement is received.
My child was seen for a well visit, which does not have a copay under my insurance plan. Why was I charged?
If there were discussions or treatments related to your child’s health that extended beyond the usual scope of a routine well-child visit (which is determined by industry standards), we are required to charge a sick visit in addition to the well visit. The charge you received may be associated with these additional matters. Please feel free to reach out with any questions; we’re here to clarify these charges for you.