REGISTRATION AND INSURANCE
To help with registration please print out and complete the following forms (click here to download) and bring them to the office. Be sure to bring your insurance card, photo ID and a method of paying for your co-payment and/or deductible to each visit.
YOU AND YOUR INSURANCE
You are responsible for the charges for your visit. Your insurance policy is a contract between you and your insurance company; therefore, payment is your responsibility. However, as a service to our patients, KIDS TIME PEDIATRICS will file the claim for your visit with your insurance company. We require proof of insurance coverage (valid insurance ID card) at each visit. KIDS TIME PEDIATRICS has a contract with most insurance companies that allows Kids Time to submit the claims to your insurance company on your behalf. You are personally responsible for payment if your insurance company does not pay the claim. For your convenience we accept cash, check, debit cards and Visa, Master Card, Discover, and American Express.
CO-PAYS
All co-pays are due at the time of service. If we are unable to verify the co-pay amount with the insurance company, we will collect a $20.00 co-pay at the time of service. If the payment turns out to have been collected incorrectly, the difference can be credited towards a future visit or refunded, at the request of the patient. The co-pay cannot be waived. Any co-pay not collected at the time of service will incur a $15.00 billing fee, payable by the insured member.
INSURANCE PLANS
KIDS TIME PEDIATRICS is an in-network provider with major commercial plans including, but not limited to: Aetna, Beech Street, Blue Cross Blue Shield, Cigna, Coventry Network, Humana, PHCS-MultiPlan, Principal, and United Health Care. Some locations also accept Medicaid (Amerigroup, Peachstate, Wellcare) and TriCare. Check with your local office to verify Medicaid and/or TriCare participation.
PATIENTS WITHOUT INSURANCE
For patients with NO insurance we will provide regular services for a fee of $80.00, payable at the time of service. An additional fee of $20.00 will be charged if lab tests are performed. (This program is only for patients with NO insurance. It is NOT available for patients with insurance - even those with a high deductible. Most insurance plans have contracted with Kids Time Pediatrics at an insurance company-negotiated fee which we are contractually required to use.)
MEDICAL RECORDS
As part of our insurance company fee, KIDS TIME PEDIATRICS will provide your insurance company with the information needed to process the claim for your visit. Patient requests for copies of claims, records of payments, etc. are subject to an administrative fee of $15.00 per request. This fee must be paid prior to completion of the request and is not covered by your insurance company.
To help with registration please print out and complete the following forms (click here to download) and bring them to the office. Be sure to bring your insurance card, photo ID and a method of paying for your co-payment and/or deductible to each visit.
YOU AND YOUR INSURANCE
You are responsible for the charges for your visit. Your insurance policy is a contract between you and your insurance company; therefore, payment is your responsibility. However, as a service to our patients, KIDS TIME PEDIATRICS will file the claim for your visit with your insurance company. We require proof of insurance coverage (valid insurance ID card) at each visit. KIDS TIME PEDIATRICS has a contract with most insurance companies that allows Kids Time to submit the claims to your insurance company on your behalf. You are personally responsible for payment if your insurance company does not pay the claim. For your convenience we accept cash, check, debit cards and Visa, Master Card, Discover, and American Express.
CO-PAYS
All co-pays are due at the time of service. If we are unable to verify the co-pay amount with the insurance company, we will collect a $20.00 co-pay at the time of service. If the payment turns out to have been collected incorrectly, the difference can be credited towards a future visit or refunded, at the request of the patient. The co-pay cannot be waived. Any co-pay not collected at the time of service will incur a $15.00 billing fee, payable by the insured member.
INSURANCE PLANS
KIDS TIME PEDIATRICS is an in-network provider with major commercial plans including, but not limited to: Aetna, Beech Street, Blue Cross Blue Shield, Cigna, Coventry Network, Humana, PHCS-MultiPlan, Principal, and United Health Care. Some locations also accept Medicaid (Amerigroup, Peachstate, Wellcare) and TriCare. Check with your local office to verify Medicaid and/or TriCare participation.
PATIENTS WITHOUT INSURANCE
For patients with NO insurance we will provide regular services for a fee of $80.00, payable at the time of service. An additional fee of $20.00 will be charged if lab tests are performed. (This program is only for patients with NO insurance. It is NOT available for patients with insurance - even those with a high deductible. Most insurance plans have contracted with Kids Time Pediatrics at an insurance company-negotiated fee which we are contractually required to use.)
MEDICAL RECORDS
As part of our insurance company fee, KIDS TIME PEDIATRICS will provide your insurance company with the information needed to process the claim for your visit. Patient requests for copies of claims, records of payments, etc. are subject to an administrative fee of $15.00 per request. This fee must be paid prior to completion of the request and is not covered by your insurance company.