Please take a few moments to read this section as it explains our Financial Policy related to charges, payment, billing, statements, and collections for the services we render. It is our sincere desire to provide the best possible medical care. This involves mutual understanding between the patients, doctors and staff. The following information is provided to avoid any misunderstanding or disagreement concerning payment for professional services.
We encourage you, our patient, to discuss any questions you may have regarding our payment policy with one of our Patient Account Representatives.
One of the by-products of today's rapidly changing health care environment is the increasingly active role insurance carriers' play in the delivery of patient care. Some managed care companies place restrictions on the medications we can prescribe for your child, to whom referrals can be made, the types and frequency of care we can provide, the limitation and pre-authorization of the use of certain radiological services and even the hospitals to which your child can be admitted. We try to work closely with your family and your insurance carriers to ensure that quality care is delivered in a cost-effective manner.
In order to do this, YOU must inform us of what services YOUR insurance policy covers. There are thousands of different insurance benefit policies and our office can not be familiar with every one of them. Therefore, we must rely on YOU to be familiar with your insurance policy benefits and coverage. You can locate this information in your BENEFIT SUMMARY or INSURANCE COVERAGE booklet. If you do not have a current copy we encourage you to contact your Human Resources department (for employer provided health insurance) or your Insurance Carrier and request a replacement book.
By being informed, as the recipient of both this insurance coverage and our care, you play the central role insuring that any care provided fits within those guidelines. It is your responsiblity to be informed about your insurance benefit plan and to insure that any treatment plan utilizes the appropriate ancilliary service providers or drug formulary prescriptions. You are responsible for informing our office for the need of pre-approval/pre-authorization of services. Our office will work wth you to change your treatment plan as neccessary to reflect requirements of your insurance benefit plans, but please be aware that some treatment plans can not be changed due to limiting factors (i.e. antibiotic resistances, failure of previous treatment plans, unavailaibility of services in local area, medically contraidicated, etc). Our office is not responsible for any decrease in benefits for services rendered that do not fall within the guidelines of your insurance benefit plan.
