BILLING

The Pediatric Associates billing staff is available to help you with any financial issues you may have. As a policy, our physicians do not discuss billing problems with patients. Please discuss any billing or payment problems with the business office. The Business Office is open from 8:00 a.m. and 5:00 p.m., Monday through Friday. Please call 302-368-8643 to speak with a representative.

Payment is the responsibility of the parent or guardian who accompanies the child on the day of their visit. The parent or guardian is responsible for all co-payments and non-covered services at the time of service unless prior arrangements have been made with a member of our billing staff. Co-payments are collected when checking in the patient.

When the child’s healthcare coverage is with a company that we are participating providers, our billing staff will submit a claim to the insurance carrier on your behalf. However, if the claim is not paid by the insurance company within 60 days it then becomes the responsibility of the parent or guardian.

We participate in many insurance plans. Patients should be aware of their individual plan requirements. To find out if a particular physician participates with your plan, please contact your insurance company. Some procedures are not covered under certain plans. Please remember to bring all insurance cards to each visit so that your child’s enrollment can be verified.

We do not bill non- participating insurance companies for office visits, but we will provide you with a receipt that can be sent to your insurance company for reimbursement. If your child’s health insurance coverage is with a company that we do not participate with, the parent or guardian is responsible for payment in full at time of service unless prior arrangements have been made with a member of our billing staff.

It is important to remember that insurance coverage contracts are between the subscriber and their insurance company. It is the responsibility of the parent or guardian to contact the patient’s insurance company to verify benefits and participating facilities and specialists for any procedures or tests ordered.

We will provide referrals to physicians participating in your insurance plan only after evaluating your child. The parent or guardian is responsible for requesting any necessary referrals prior to seeing any specialists, and prior to having any tests or procedures performed. When a referral is required, we request at least 48 hours to process the request. We cannot give retroactive referrals for consultations not initially recommended by one of our pediatricians. If you need an insurance referral for services outside our office, contact our Referral Coordinator between 8:00 a.m. and 5:00 p.m. at 368-1632.

For your convenience we accept Cash, Check, MasterCard, Visa and Discover.