Financial Policy
Co-Pays: In accordance with our contract with your insurance company, we are obligated to take the co-payment defined by your insurance plan. Co-payment is due at the time of service. This includes any siblings that are added to the schedule at the time of another visit. Note: If a visit that was not originally scheduled as a sick visit turns into a sick visit after arrival, your insurance my apply a co-pay.
Returned Checks: A $20 fee will be charged to your account for NSF checks that are returned by your bank. After two NSF checks have been returned on your account, we will request payment by cash or credit only.
Well Visit Services: It is understood that we will conduct all age-appropriate well-child services at every annual physical to provide the standard of care recommended by The American Academy of Pediatrics and that it is your responsibility to confirm coverage with your insurance company. To see a schedule of services, look for our Schedule of Well-child visits on our website or ask for a copy at the front desk.
Balances: If a personal balance is due after insurance has responded for a date of service, a statement will be sent to the responsible party. Payment in full is expected upon receipt of the first statement. Please do not disregard any statements you receive from Connecticut Pediatric Partnership. Please call our billing department if you have any questions or feel there are any errors.
Collections: It is understood that if your account is turned over to a collection agency, you will be responsible for any collection costs that are incurred. Once this step has been taken, we cannot reverse the process. Remember that payment arrangements can be made at any point during this process prior to the account being sent to a collection agency.
Cancellations: Our office requests 24 hours notice, excluding weekends/holidays, for cancellations of all appointments. For no-show/missed appointments with no prior cancellation, a charge of $50.00 for a physical examination and $25.00 for sick/vaccine/testing appointment will be applied to each missed appointment. As a courtesy to our office and to other patients, we ask for as much notice as possible when canceling any appointment, including sick and follow-up appointments, so that we may be able to accommodate another child.
Divorced, Separated, or Unmarried Parents: We recognize that families may be structured in many differentways and we are committed to providing the best medical care to every child. To help maintain clear communication and avoid misunderstandings, the following policies apply to families in which parents or guardians are divorced, separated, or unmarried. For administrative and billing purposes we maintain one medical and financial account per patient. We are unable to divide charges between parents or guardians,submit multiple claims for the same visit, or become involved in financial disputes between family members. The parent or legal guardian who accompanies the child to the visit, or authorizes services on the child’s behalf is considered the responsible party for all charges incurred as well as to provide current and accurate insurance information unless prior written arrangements have been approved by the practice. In accordance with state and federal laws, both parents have access to their child’s medical information unless current legal documentation is presented that says otherwise. Separate portal accounts can be established for both parties.
After Hours: Any visits scheduled after our regular office hours will be billed as such to your insurance company.
Comprehensive Care Fee: This is a yearly fee of $75/patient 18 years or younger, $50/patient 19 years or older and a family maximum of $225 due yearly by May 30th. This Care fee allows us to provide all services not billable through your insurance company under a singe yearly fee.
Credit Card on File: We require all families have a credit card on file. We use a third party payment processor to securely store your credit card information. No credit card information will be stored in our office. This allows us to promptly collect the amount your insurance carrier says is your responsibility. All balances for $200 and less will be charged to your credit card on file once your explanation of benefits is received by our billing office. For balances due that are more than $200 we will contact you to let you know we are going to charge the card on file. If we can't reach you we will leave a message and if we don't hear from you after 48 hours, we will charge the card on file. For all balances over 120 days past due, we will contact you to discuss continued care.