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The following are common questions that may come up about the insurance and billing process. It may be helpful to consult your benefits package or insurance company to assist you. Do you have well child benefits? If so, is there a maximum amount they will pay per year?
Does your plan require referrals to see a specialist, or for certain labs or diagnostic imaging? If so, make sure we are listed as your child’s primary care physician.
Do you have benefits with more than one insurance? If so, contact both insurance carriers. This is very important or they may not process your claims correctly. They will determine which plan is the primary plan. Be sure to alert the front desk as to which plan is primary and secondary and bring both cards with you.
Does your plan cover the following? · After-hours services · Developmental testing · Durable medical equipment · Hearing tests · Immunizations · Vision exams · Well-child care
Does your plan have a co-pay? If so, do you have a co-pay for well child visits?
Are we listed as an in-network provider for your plan? If not, you will pay more out of pocket. Be sure to ask your insurance if you have out of network benefits and if they are different than in-network benefits.
Do you have a deductible that you have to pay? If so, how much is it? |
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Insurance / Billing Tips |
