Insurance Billing & Patient Financial Responsibility

As a courtesy to our patients, The Pediatric & Adolescent Center (PAC) will bill your health insurance company on your behalf. While we are happy to handle the insurance billing process, patients and families remain responsible for understanding their insurance benefits and for any charges not covered by their insurance plan.

Co-Payments

Insurance co-payments are due at check-in for each applicable visit. Collecting your co-payment at the time of service helps simplify the billing process and fulfills the requirements of your insurance company.

Insurance Cards

Please bring your most current insurance card to every appointment. Keeping your insurance information up to date helps prevent billing delays and claim denials.

Secondary Insurance

If your child has more than one insurance plan, please provide all insurance information at the time of service. Insurance plans must be billed in the correct order, with the primary insurance billed first. Incorrect coordination of benefits may result in claims being denied.

Auto Insurance

PAC does not bill auto insurance for medical care related to an automobile accident. Payment will be required at the time of service. We will provide you with the appropriate documentation needed to submit the claim to your auto insurance company for reimbursement.

Combined Visits

If your child is scheduled for a well-child examination and additional medical concerns are identified and evaluated or treated during the same visit, your insurance company may consider the additional services a separate billable service. This may result in an additional co-payment, co-insurance, deductible, or balance due, depending on your insurance plan.

In-Office Procedures & Services

Some procedures and services performed in our office are billed separately and may not be covered by your insurance plan. Examples may include:

• Hearing tests

• Vision screenings

• Nebulizer treatments

• Developmental screenings

• Immunizations

• Strep testing

• Urine testing

• Wart treatments

Coverage varies by insurance plan, and you may be responsible for charges that are not covered.

Laboratory Testing

Some specimens collected in our office must be sent to an outside laboratory for additional testing. The laboratory may bill you separately for these services.

Examples include:

• Urine testing

• Strep testing

• Flu testing

• RSV testing

• Cultures and other specimens sent to an outside laboratory

Outstanding Balances

We ask that all patient balances be paid promptly. Accounts with balances that remain unpaid for more than 90 days may be terminated from the practice and referred to a collection agency.

Accounts referred to collections may be subject to an additional 35% collection fee, where permitted, and the family will be terminated from the practice.

Please contact our billing department if you have questions about your account or need assistance understanding a balance.