We are doing everything possible to hold down the cost of medical care. You can help a great deal by reducing the number of bills we send to you. The following is a summary of our payment policy:
ALL PAYMENT IS DUE AT THE TIME OF SERVICE:
Payment is required at the time services are rendered. This includes applicable co-insurance and co-payments for participating insurance companies. Co-payments are collected at the time of check-in. PIRATE PEDIATRICS accepts cash, check (in-state only), VISA, and MasterCard. There is a service fee for all returned checks and your account will be placed on a cash only status. If you owe additional fees after your visit, you will receive a statement. Payment is expected within 10 days of your statement. Failure to pay outstanding balances will result in collection notices and possible dismissal from PIRATE PEDIATRICS.
Please do not place our office in the middle of marital disputes. It is your responsibility to work out the payment of your child's medical care. The accompanying adult is responsible for payment at the time services are rendered.
We bill participating insurance companies as a courtesy to you. You are expected to pay your deductible and copayments at the time of service. If we have not received payment from your insurance company within 45 days of the date of service, you will be expected to pay the balance in full. You are responsible to be sure all charges are paid whether by you or by your insurance carrier. Your time of service receipt includes all information necessary for submitting claims to your insurance company.
If you need assistance or have questions, please contact PedsOne Billing Service between 9:00 a.m. and 5:00 p.m., Monday through Friday at (866) 371-6118.
Patient/guarantor credits in amounts less than $20.00 will be retained on account to be credited toward future balances unless a written request for refund is received. Amounts $20.00 and greater will automatically be refunded to the patient/guarantor.
MISSED APPOINTMENTS/LATE CANCELLATIONS:
Missed appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. Cancellations are required 24 hours prior to the appointment. Please arrive 15 minutes prior to your appointment time. If you are late by 15 minutes or more, you will be considered a “no show”. Appointments that are cancelled in less than 24 hours or missed appointments may result in a $90.00 fee. Two or more missed appointments may result in discharge from the practice.
There is a $15 service fee should you call after hours and use the Health Direct nurse triage call center.
DISMISSAL FROM PRACTICE:
PIRATE PEDIATRICS reserves the right to dismiss patients from our practice for non-payment. If you have established a history of non-payment on your account, you may be eligible for dismissal.
Prior to dismissal, PIRATE PEDIATRICS will issue a letter informing you of our intent to dismiss unless payment in full is made on your account. Payment in full includes your current account balance, in addition to any amounts that have been referred to an outside collection agency.
Questions or Concerns
If you have any questions regarding your account, or need clarification on any of the items listed in this financial policy, please contact our billing office today.
Thank you for trusting Pirate Pediatrics with the care of your children. We are dedicated to making your experience a positive one. Please do not hesitate to contact us with any questions regarding your account, payment options or financial responsibilities.