It is the commitment of this office to help keep your health care costs as low as possible. In order to do this, we need to keep our billing costs at a minimum. Please help us in the following ways:
- Always bring your current health insurance card to the office.
- Please notify us immediately of any changes in insurance, address, phone #, etc.
- Please be prepared to pay your co-pay at the time of service; or if you do not have insurance, to pay for your visit in full.
- Please pay your bill in full when you receive your statement or make payment arrangements with the Patient Account Services department.
Late or missed payments may be reported to a credit reporting agency. Accounts may be turned over to an outside collection agency. Past due balances will be charged a collection fee as listed below based on the account balance. Parents/Guardians will be responsible for all additional fees and expenses incurred as a result of trying to collect a past due balance. Failure to resolve a collection agency balance may result in termination of care at South Lake Pediatrics.
|Account Balance||Collection Fee|
Parents/Guardians are responsible for knowing their insurance benefits. Insurance plans vary considerably and we cannot predict or guarantee what part of our services will or will not be covered by your particular plan. The patient/parent/policyholder is responsible to know the benefits of their health plan. South Lake Pediatrics cannot change coding in an attempt to obtain payment.
- Hearing and vision exams are often not covered as well as supplies such as crutches, slings, and braces.
- Mental Health benefits are often different than medical benefits. Common conditions such as ADD, ADHD, Developmental Delays, Learning Disorders, Depression, Autism, Anxiety, and others are usually considered under the mental health benefits of an insurance plan. This is especially true for Psychological Testing.
Throat culture only and/or Strep test is considered a nurse visit and an office visit charge will apply in addition to the charge of the lab test(s).
During a periodic health exam additional tests or procedures may be ordered such as hearing and vision screening, immunizations and laboratory tests. These are each separately charged. According to AMA guidelines, when a patient presents for a periodic health exam with concerns that require evaluation beyond the scope of a routine periodic health examination, the coding must be adjusted to reflect the additional services performed. The coding used to report these services is not covered by insurance carriers as a periodic health exam. These services are subject to any copay, deductible, or policy restriction that may exist. Further definitions of these criteria may be discussed with your physician or nurse practitioner.
February 28, 2014