Billing Policy

Billing Statement Procedure

If your overdue account balance is between $5 and $50, you will receive a single statement from our office. If your  balance is more than $50, you will receive two consecutive statements.

If full payment is not received within 30 days of the first statement, a $5 late payment fee will be added to the second bill. If we haven’t received full payment on your account after two statements have been sent, the account will be sent to an outside collection agency.

We appreciate your prompt payment on outstanding balances.

Sick Care During a Well Exam

If in the course of a patient’s well exam a separate, non-well issue presents which needs to be addressed, it may be addressed during the current visit or at a subsequent visit.

If addressed at the time of the current well exam, an additional E&M code (evaluation and management) will be added to the visit.

Your insurance company may requre a second co-pay or a deductible may apply for the additional service or procedure.

MD Pediatric Assocites will file your claim.  If the EOB (explanation of benefits) shows an additional amount is owed by the patient, you will receive a  bill for that amount.

Payment Plans

MD Pediatric Associates’ policy is that any charges such as co-pays, deductibles, or non-covered services are due at the time of service.  However, we do offer a limited payment plan for those patients who need some flexibility, with the following criteria:

  1. You will be required to provide us with a credit or debit card number to automatically process your payment on specified dates.
  2. The balance must be paid in full within six months of the date of service (unless otherwise specified), or six months from the date that we received payment from your insurance company (if applicable).
  3. A copy of this agreement will serve as your reminder.  Regular statements will not be mailed for this balance.
  4. No future charges may be added to this payment plan, as it is not intended to be a revolving charge account.  Until this initial payment agreement is paid in full, all future visit costs will be due in full at the time of service.
  5. If at any point you are unable to keep this payment agreement, and fail to notify MD Pediatric Associates, your account will be sent to a collection agency.  If your account is sent to a collection agency, you will be given 30 days to select a new primary care physician.  During that 30 day period we will continue to provide only acute medical care for your child.

"My time is valuable and I really appreciate that MD Pediatrics sees my children in a timely fashion."

- Shari N

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