Medical Record / HIPAA
We document all visits and always respect your privacy. Records requested for transfer to another physician, personal use, or sent directly to you will incur a charge, which must be paid before the records are processed. To request records, a medical record release must be submitted. Turn around time is within 7 business days. Urgent request will incur an additional fee.
Insurance / Financial Policy
We are contracted with many insurance companies. Claims will be submitted to all insurance companies we are contracted with. In the event that the insurance carrier pends the claim while requesting information from the insured, we will provide a maximum of 30 days to resolve issues with your insurance company. If you are unable to resolve the issue, or you do not respond to your insurance carrier, then the charges will be transferred to your responsibility for payment.
Copays and a minimum of 50% of all deductibles/coinsurances are due at the time of service. If you need to arrange a payment plan, please contact our billing department prior to your visit to the office. Please be aware of your plans benefits and limitations. Although we will file many insurance carriers, you are responsible for any portion not covered by your plan. Statements are mailed monthly and payment is due upon receipt. Extended payments require contacting our billing manager. Please bring a copy of your insurance card to every visit. Payment is due at the time of service for patients without insurance. Ask us about the VFC program for immunizations. We accept cash, money orders, Visa, Mastercard, Discover, and Amex. (We may make exceptions for personal checks, however, they generally are not accepted)
All children receiving vaccines will be given an updated 3231 immunization form on the day of their visit. The office provides this 3231 form free of charge on the day that the patient receives immunizations or a Well Child Check. Any request for 3231 (immunization) or 3300 (hearing, vision, dental) forms beyond the time of service will be subject to a fee. Sports, school, medication, camp forms, and letters are all subject to a fee. Most forms require a physical exam within 6 months to 1 year. If your child has not had an exam, please schedule one before asking us to fill out the form. Due to the increased volume and enormous amount of staff time, beginning January 1, 2009 we charge a fee of $2-$40 for every form, including sports, school, camp, 3231, 3300, medication forms, utility letters and insurance forms (this list is not exhaustive). The fee is due at the time of the request. Turn around time is 2-3 business days. An additional fee of $5-10.00 will be charged for all urgent requests. When completed, forms can be faxed, mailed, or picked up.
Well checkups, follow-up and consultations are scheduled in advance. Sick appointments can be made the day your child is ill by calling as early as 8:30 AM. We accept walk-ins when we can accommodate them. To avoid waiting, or not being seen, please call first. For life threatening emergencies call 911. Please help us stay on time by arriving 5-10 minutes earlier than your appointment. If you are more than 15 minutes late you may be rescheduled for the next available appointment. If you need to cancel/reschedule an appointment, please be sure to call 24 hours ahead of time for one child and 48 hours for multiple children. If you do not give advance notice, it will be considered a No Show. You will receive a warning after 1 (one) No Show and then you will be required to pay a fee of $25.00 per no show before scheduling another appointment.
We often refer to a variety of talented, mostly pediatric specialists in the area for things that need specialty care. We will almost always suggest you start with an appointment with us, although at times and for certain conditions we will make suggestions by phone. It is your responsibility to check with your insurance company and with the specialist to be sure your visit will be covered. If a referral is needed, call our office and leave all the required information. Please be sure you call in advance of your appointment to allow time to process the referral. Other than for emergencies, there is a 2-3 day turn around time for referrals.
Our front office staff are generally available to answers all calls between 8:30 am and 12:00pm and from 1:30pm until 4:30 pm. Please be as clear as possible with information such as your childs name, date of birth, and the reason you are calling. Be very clear if you think you have an urgent medical situation. You can ask to be transferred to the form line to leave information about a form you need, the referral line as outlined above, the prescription refill line, or the nurse advice line. If you want to schedule an appointment for a sick visit, call the day your child is sick for a same day appointment. Call in advance for well visits, rechecks, and consults as we may not be able to accommodate same day appointments for these visits. Our Clinical Triage Staff are generally available Monday Friday to answer baby care questions, medication questions and refills, or to help you decide if your child needs to be seen. If you wish to speak to the doctor, non-emergency calls are generally answered at the end of the afternoon and, as time permits, between appointments. For some problems, the physician may request that you schedule an appointment. When calling about a sick child, always the number of your pharmacy ready. As we have limited staff on Saturday, please hold all routine calls until the weekdays.
A provider is available after hours for urgent and emergent medical needs by calling the main number. For calls that are not urgent, please call during regular office hours. We recommend that all parents learn CPR and keep emergency numbers handy.
We refill prescriptions during regular office hours. Call and leave a message, or have your pharmacy call or fax a request. Refills are done within 48 hours, unless authorization is required. We will notify you if there are any problems. You may be asked to leave this information on voice mail of the clinical staff. When calling, please specify dose, time given, and quantity desired.
Please help us keep our office clean so each visit can be an enjoyable experience for all:
- No Food Allowed, other than breastfeeding and formula for infants
- No cell phone use in exam rooms and hallways except for emergencies
- No smoking on the premises
- Dirty diapers must be taken out of the office
THANK YOU FOR YOUR COOPERATION