Welcome to Premier Pediatrics! We are excited you have chosen us to provide you pediatric care. Our providers are committed to giving the best possible care to our patients and their families. This goal is best achieved if everyone is aware of our office policies. Your clear understanding of our financial policy is important to our professional relationship.
Payment for services is expected at the time of your child’s visit. This includes co-pays, deductibles, and payment in full when we are not contracted with your insurance carrier. We accept cash, check, Visa, Mastercard, American Express, and Discover. The accompanying parent or other adult is responsible for full payment and providing current insurance information. A $25 fee will apply to any check returned for any reason. This is necessary since we are also charged by the bank for your returned check.
We bill participating insurance companies as a courtesy to you. You are expected to pay your deductible or co-payment at the time of service. Please be aware that health insurances vary on which services they cover. Therefore some or perhaps all of the services provided may be non-covered services. You are expected to pay for all services not paid by your insurance carrier. Bills are sent monthly, and are due upon receipt. If we have not heard from your insurance company within 60 days of the date of service, you will be expected to pay the balance in full. Account with no payment activity as of 90 days may be sent to collections.
If we are not contracted with your insurance company, we will provide you with a copy of the encounter form for each office visit. This form will have all of the information necessary for you to submit your claim to your insurance company. All services must be paid in full at the time of the visit, and your insurance company may then reimburse you directly.
Missed appointments and appointments cancelled at the last minute represent a cost to us and to other patients who could have used the time set aside for your child. Please call ahead to make any scheduling changes you need. We require a 24 hour notice of cancellations. Failure to appear for a scheduled appointment will result in a $40 charge.
Our providers make every effort to stay as close to their schedule as possible. Patients who arrive more than 15 minutes late will be rescheduled.
Camp and School Forms
At your request, a completed generic health form will be provided at every well visit for each of your children free of charge. This form can be used for all school and camp applications. We will NOT complete a form for children who have not had a wellness visit in the last 12 months. If you request a form completed anytime after the visit, you will need to supply a self addressed stamped envelope or pick up the completed form. Processing of forms may take up to 10 days.
Special processes such as guardianship or social security benefit applications will be done within 14 business days at a cost of $25.
As stated, all fees are due at time of service. Any charges remaining unpaid sixty (60) days after the date of service are considered past due. In this case, we will make every effort to contact the person responsible for the delinquent balance and arrange for equitable payment. However, if no effort is made to pay the balance due by ninety (90) days, the account may be sent to collections. Once we place your account with a collection agency, a 25% collection charge will be added to cover the collection fees. In this situation, the responsible person(s) will be asked to seek medical care for their children elsewhere. We understand that families have difficult financial times, and we are very willing to work with you. Please communicate this to us as early as possible so we can advise you properly. Please contact Beth, our billing supervisor, at 913-735-2829 for any questions regarding your bill.