Office Policies
Copays
Our contract with your insurance company requires that we collect your copay at the time of service. We accept cash, check, and VISA, MasterCard, and Discover.
Forms
We require two (2) business days to complete forms that are required for school, camp, sports, jobs, etc. The chart is reviewed by one of the medical staff, and often by your physician, before a form can be completed. If you require your form faster than 2 business days there is a $10 fee. Your form can be held for pickup, faxed, or mailed if a self-addressed, stamped envelope is provided.
Insurance Policy
We will file with your insurance company as a courtesy. We are not responsible for knowing the terms and exclusions of your medical plan. We will, however, do our best to stay within the guidelines of your plan as long as you communicate them to us. Please present your current insurance card at each visit so we can accurately submit your claim.
Statements
You will receive a monthly statement showing your outstanding balance. Any balance that your insurance company has not responded to in 45 days will become your responsibility. Please follow up with your insurance company if you feel they should have covered your claim. Any balance over 90 days will receive a $5 monthly charge until paid in full. Please make your payments in a timely manner to avoid collections.
Collections
Along with your monthly statement, a warning letter will be sent to accounts with balances over 90 days old. Our first letter alerts you to an old outstanding balance and asks for prompt payment. Our second letter warns that the outstanding balance is due within 30 days or the account will be sent to collections. If the balance does go to collections, your children will no longer be seen at our practice. If the second letter is not responded to with either full payment or a payment plan, the account will be sent to collections and our relationship will be concluded.