Billing Department: 856.691.8585 ext 129
Billing Hours: Monday – Friday 8:00 am to 4:00 pm
The patient is expected to present an insurance card at each visit. All co-payments and past due balances are due and payable at the time of service. An additional charge of $10 will be assessed if the co-pays are billed.
There will be a $20 charge for all returned checks.
Self-pay accounts are patients covered by insurance plans in which PA does not participate, patients without an insurance card on file, or patients who do not have any insurance coverage. The parents shall pay in full at the time of service.
NON-PARTICIPATING INSURANCE PLANS
PA will file to these insurance plans as a non-assigned claim as a courtesy to our patients. The parents shall pay in full at the time of service. The insurance company will reimburse the parent on non-assigned claims. If the check is received by PA, it will be endorsed and forwarded to the parent, providing the account balance meets the required criteria.
The following criteria must be met prior to issuing a patient refund: there are no outstanding insurance claims on the family's account, and there are no outstanding patient balances on the family's account.
PAYMENT PLAN AGREEMENTS
PA is willing to extend payment plan agreements to patients with special financial needs. Each agreement is unique and personalized to each family's situation and is arranged through Pediatric Associates billing office. Please contact us if you are in need of special arrangements.
If both parents have insurance coverage, the primary insurance is determined by Birthday rule. The dependent children are covered first by the health plan of the parent whose birthday falls earlier in the year. The other parent holds the secondary Coverage. In some cases, an insurance plan may fall under the Gender Rule. The plan covering the child as a dependent of a male will be utilized before those of the plan covering the child as a dependent of a female.
CHILD CUSTODY CASES
The parent with primary custody is usually the parent with whom the child lives and who usually brings the child to PA for care. The custodial parent is responsible for co-payments at the time of service for participating instances and for all past due balances. If the non-custodial parent carries the insurance, PA will bill that insurance company. PA does not get involved with divorce settlements, e.g., one parent pays 80% and the other parent pays 20%. It is the parents' obligation to work out an agreement and insure prompt payment to PA.
After 3 billing cycles, unpaid patient accounts will be forwarded to a collection agency.
There is a form completion charge of $5 per form. This financial policy helps PA provide quality care to our patients. If you have any questions or need clarification of any of the above policies, please feel free to contact us.