Please read this page carefully! We try to ensure that our patients have a clear understanding of our expectations so that we may better serve you.
Please direct questions to our office staff. A signed copy of these policies is maintained in each chart.
Please be sure you understand this prior to signing.
Payment for services:
Our office staff will inform you of any co-pay or balance due at time of check-out.
Insurance companies require that co-pays be collected at time of service.
If this is impossible for you, we will ask you to stop in the business office prior to leaving our office, so that we can make arrangements with you.
It is your responsibility to notify us of changes in insurance. You will be expected to show your insurance card at each visit.
You are responsible for knowing your co-pay amount and whether you need to meet your deductible. If you have not met your deductible, we will accept payment in full. Insurance companies do not cover some services; you will be responsible for these charges.
Insurance is a contractual agreement between you and your insurance company. If we are contracted with your insurance company, we will be glad to file your claim.
Please understand that if your insurance company does not send any payment within 90 days from the date of service, it then becomes your responsibility.
It is your responsibility for knowing your insurance benefits and requirements.
You need to know if your plan covers well benefits and immunizations because each employer negotiates different contracts for their employees.
It is also very important to know if you have to use a certain lab, provider, hospital, etc. (We, Eastside Pediatrics, PA, are not responsible, if you are sent to the wrong lab, etc.)
IT IS YOUR RESPONSIBILITY TO KNOW YOUR PLAN!
All checks returned to us will be charged a $35.00 returned check fee.
Please be ensured that if you receive a bill, we have received insurance payment and the remaining portion due is your responsibility and/or it has been more than 90 days and we have not received a response from your insurance company.
Overdue accounts will be submitted to a collection agency, which will also be reported to the credit bureau.
If you arrive more than 10 minutes late for a WELL visit, you will be asked to reschedule your appointment.
If you arrive more than 15 minutes late for a SICK visit, you will be worked in around other patients who have scheduled appointments.
If you fail to cancel your Follow-up or Sick appointment, you will be assessed a $15.00 fee.
If you fail to cancel your Well-Child Check or ADD appointment, you will be assessed a $45.00 fee.
Insurance companies will not pay for this fee. You will be responsible for it, prior to rescheduling additional appointments.
We do everything possible to see your child if necessary
WE DO NOT ACCEPT WALK-IN APPOINTMENTS.
Please call and you will be given a time when we are able to see your child.
Medical emergencies will take priority over scheduled appointments.
Remember, you would want the same level of care for your child.
It is your responsibility to notify our office of any changes in address, phone number, etc.