PAYMENT POLICIES

Thank you for choosing RBK Pediatrics  for your child’s medical care. We are providing you with the
following information to help you understand our insurance and billing policies.

Patient Responsibilities

1) You must show your current insurance card at every visit. This is to protect you from receivinga bill because we did not have correct insurance information. We will attempt to validate yourinsurance benefits at time of service and alert you to any problems. If we cannot validate yourcoverage, we may assign your account to self-paid status and request full payment at the end of yourvisit

2) You must pay your co-payment at the time of the office visit. Our contracts with insurance companies require us to collect your co-pay at the time of service.

3) You must cancel any appointment for a well visit/check-up at least 24 hours prior to your scheduled start time. Otherwise you will be assessed a missed appointment fee based on the length of the appointment:

4) Know your insurance benefits. Your insurance policy is a contract between you and your insurance company, even if your employer provides it. There are many subtle differences ininsurance policies, and employers frequently change coverage and co-payments. You are responsiblefor knowing what services are covered (and how often, in the case of well visits), and how much ofthe cost is your responsibility. You will be responsible for any portion of services that your insurancedoesn’t cover, or for which you have a deductible that has not yet been met. You should also beaware of where your insurance wants you to go for any lab or radiology procedures, so that in anurgent situation, you are seen at the appropriate facility and will not receive a bill.

5) If your insurance plan requires you to choose a primary care provider, you must contact your carrier and select our office as soon as your medical records are transferred. In accordance with carrier guidelines, we cannot schedule any appointments or write any referrals until we receive notice
that you have been added to our roster.

6)  If you have a newborn or newly adopted child, congratulations! You should contact your carrier as soon as feasible to add the new child to your policy. Permanent coverage must be in place before the automatic newborn coverage expires. You must have your child added to your policy by the one month well-visit and should have an insurance card to present at that visit. If you have not received an insurance card, contact your insurance company prior to the visit to verify coverage and get an active insurance ID number. If you do not have active coverage your visit may be rescheduled/delayed or you may be personally responsible for the bill.

7) If your child is covered by more than one insurance policy, be sure you know which is considered primary. We must submit claims to the appropriate carrier(s) in the right order.

8) Carefully read all Explanation of Benefits (EOB) statements you receive from your insurance carrier. We receive the same statements, and any charges which your insurance carrier designates as “patient responsibility” will be billed to you directly from our office if you.