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Please read this helpful information about our
insurance and payment policies.
PAYMENTS ARE DUE AT TIME OF SERVICE
All office visits are payable at the time of service unless prior arrangements have been made with our office. We accept cash, checks, most major credit cards and debit cards.
YOUR INSURANCE
We participate with most insurance plans including the following:
Blue Cross and Blue Shield
Cigna
Community Blue
EmpirePlan
GHI
Independent Health
MagnaCare
North American Health Plans
NOVA HealthCare
United
Univera |
Community care
Fidelis
Medisource (Independent Health)
NYS Medicaid
Community Blue Child Health Plus
Community Blue Family Health Plus
Fidelis Child Health Plus
Healthy NY - Community Blue
Healthy NY - Independent Health |
- Make
sure that new insurance cards are correct. Check all names and numbers closely. Call
your insurance company if anything is incorrect.
Make any corrections before coming to our office to avoid any insurance
rejections.
- Please
show us any new insurance cards
you have when you come to the office.
- Tell
your insurance company about any newborns. As soon as possible after a baby is born,
you should notify your insurance company. Hospital and office
bills may not be paid if they don’t know about the baby.
NON-PARTICIPATING INSURANCE COMPANIES
If we do not participate with you insurance company, we will submit claims for you as a courtesy. If the insurance company does not pay within 45 days, you will be responsible for payment of all charges.
The insurance carrier you have selected may require that you pay a copayment or deductible at the time of service. Please be prepared to pay when you are seen by one of our providers.
NON-COVERED SERVICES
In the event that your health insurance plan determines a service to be "not covered", you will be responsible for the complete charge. Should this occur, we will bill you; and payment is due upon receipt of that statement.
MEDICAID AND MEDICAID MANAGED CARE
We participate with NYS Medicaid and the Medicaid Managed Care plans
as listed above. If you are required by Medicaid to select a primary managed care plan, please make sure to select one of the plans listed and inform our office of you selection.
NEW YORK STATE CHILD HEALTH PLUS
Any uninsured child that is not eligible for Medicaid automatically qualifies for New York State's Child Health Plus. The office staff will be glad to provide you with an application form.
WORKERS' COMPENSATION AND NO-FAULT
If you have sustained injuries in a work-related or motor vehicle accident, notify us when you check in. All no-fault and compensation information should be given to us at the time you are first treated for the accident. Failure to supply us with this information will result in your being responsible for payment. In the case of a Workers' Compensation accident, you employer must be notified of the injury.
MINOR PATIENTS
For all services rendered to minor patients, the adult accompanying the patient to the office is responsible for payment. In the case of divorced or separated parents, we will not become involved in your legal agreements.
PAST DUE ACCOUNTS
An account is considered past due if no payment is received within 30 days of the initial billing date. Patients with past due accounts must make a payment before being seen by your health care provider. Accounts that remain delinquent will be forwarded to a collection agency.
PAYMENT ARRANGEMENTS
If you are unable to make full payment of the account balance when due, arrangements for a partial payment plan can be made with the Office Manager.
INSUFFICIENT FUND CHECKS
Returned checks will be charged back to the patient's account. There will be an additional $20.00 service fee for each returned check. Future balances must be paid by cash or credit.
BILLING COMPANY
The insurance and patient billing are performed by HealthTec Solutions. The staff at HealthTec work very closely with Tonawanda and Island Pediatrics to ensure that your insurance is billed properly and that full reimbursement is received. For any questions regarding a bill you receive, call HealthTec staff at 716-639-0155 Monday through Friday.
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