Pediatric Associates

1318 South Main Road

Vineland, NJ  08360

For Life-Threatening Emergencies Call 911
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© 2019 by Pediatric Associates, LLC. Proudly created by GNC Venture Group, Inc.

Our Policies:

 

Billing Dept 856.691.5864 
Billing Hours: Monday – Friday 8:00 am to 4:00 pm

BILLING & INSURANCE

It's Your

Responsibility:

 

Please familiarize yourself with your specific insurance plan, coverage and co-pays and deductibles before your appointment.

Health care insurance is intended to cover some, but not all, of the cost of your child's medical treatment. Please familiarize yourself with your specific policy by contacting your benefits office or by calling the phone number listed on your insurance identification card. You should be aware of any deductibles, coinsurance and co-payments, as well as non-covered services.

 

You will be asked at each visit if your insurance is still the same. We ask this question to keep our records as accurate as possible, and also to properly file to your insurance company for payment of the services we provide to your child. All patients receive the same medical treatment in our office regardless of insurance coverage. However, there are some administrative procedures that must be altered for certain managed care plans.

 

Participating health plans change contracts frequently. Please check with our business office if you are changing health plans. We participate with the following listed insurance plans. However, since contracts frequently change, it is important to call and verify that we still participate.

 

  • Aetna

  • Amerihealth

  • Americhoice

  • Amerigroup

  • Cigna

  • Healthnet

  • HEREIU Local

  • Horizon BC/BS 

  • Horizon NJH

  • Medicaid

  • Oxford

  • Private Health Care Systems (PHCS) 

  • Tricare Standard (only) 

  • United Healthcare

 

We will file insurance claims for those patients with insurance plans in which we participate. If we do not participate with your insurance company, in the event of hospitalization, we will file the insurance claim for you. For all non participating insurance plans, you will be provided with a statement of the charges for services provided to your child in our office by our physicians. This statement will satisfy the "Physician/Supplier" section of the insurance claim form, which you are responsible for filing to receive reimbursement from your insurance company. The insurance company will usually respond to your request for reimbursement within 30 to 45 days. If you do NOT hear from them within this time, please contact them to determine the delay.

 

Unfortunately, if you do not inform us of any special requirements in your contract and we subsequently order services (such as testing, lab work, hearing and vision screenings) that are not covered, our office or the selected medical facility will have no choice but to bill you directly for those charges. Payment for those charges is then your responsibility.

 

If your insurance changes or is not active for services to be billed and we are not clearly notified and documented, you will be responsible for all financial balances.

You will be responsible for any balance left unpaid by your insurance. Payment for all co-pays and non-covered services is expected at each visit to our office. Payment may be made by cash, personal check, Visa or MasterCard.