Thank you for choosing Pediatric & Neonatal Specialists to care for your child(ren). The following information is provided as a guide to understanding our financial requirements. Should you have any questions please call our Billing Department at (502) 893-5502, Monday through Friday, 8:00 a.m. to 4:30 p.m.
Patients with insurance will be asked to provide Insurance card(s) at every visit. We accept most insurance. If insurance coverage should change please notify the receptionist at the next office visit and
provide us with the new insurance card(s). If there is more than one insurance carrier (one insurance is primary and the other is secondary), you must provide the insurance cards for both. Be advised that your primary insurance will not pay any claims without first receiving information from you on your secondary insurance.
The parent/legal guardian is responsible for all fees whether or not the insurance company pays. As a courtesy for our patients we will file a claim to the insurance company for services provided. Any fees not paid by the insurance company will be billed to the parent/legal guardian and immediate payment is expected. We do not act as an intermediary between the insured and the insurance company. Please contact the customer service representative of the insurance company if you are dissatisfied with the result of a claim and feel a service should be covered.
There is a $20 charge for no shows. Notify us 24 hours in advance to cancel or reschedule the appointment to avoid this fee.
Read your insurance policy so you are informed about what is covered. It is the parent/legal guardian's responsibility to ensure we are an in-network provider, to know what services are covered and co-pay requirements. Please note certain immunizations are not covered by most insurance and the patient may have a co-pay amount that is different from the office visit co-payor there may be no co-pay required.
We send statements monthly. Balances due from the responsible party that are two (2) months old will be placed in collection. The responsible party will have seven (7) days from the date we send a collection letter to pay the balance. Balances that remain unpaid atter collection will be turned over to an outside agency and the patient will be discharged. The parent/legal guardian agrees to pay all costs of collection, including reasonable legal fees.
Self pay (patients without insurance coverage or where insurance coverage cannot be verified) are expected to pay their bill in full at the time of service unless prior arrangements have been made with the Billing Department.
I have read, understand and agree to these financial policies.
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