Managed Care has become a growing healthcare trend in our society. To better serve you, the following guidelines have been developed for our office.

YOU are responsible for:

  • Having your insurance enrollment card available at every visit.
  • Providing the necessary information required for primary filing of your claim.
  • Providing a copy of your most recent EOB indicating if you have met your deductible.
  • Pay your required amount at the time of every visit.
  • Notify us of any change in your managed care/insurance plan and any change in benefits.
  • Contesting non-covered claims with your managed care/insurance and re-filing if you desire.
  • Filing of secondary managed care/insurance if you desire.
  • Full payment within 30 days of all services transferred to patient responsibility, even if secondary filing by you is pending.

CHILDREN’S CLINIC is responsible for:

  • Filing your claim once with the managed care/insurance company that you have given us as your primary coverage.
  • Posting payments received to your account and if there is a valid credit balance due you, it will be applied to your next visit or refunded to you upon your request.
  • If the Explanation of Benefits (EOB) indicates that there is no payable amount from managed care/insurance, the amount will be transferred to your responsibility.
  • Following up with your managed care/insurance if no payment and no denial is received.
  • Review all delinquent balances for collection service action.

Health Care Plans that we accept.
We accept and/or contracted with the following managed care companies. If your managed care/insurance plan is not listed, you may only be able to use this office as an out-of-network provider. Please contact the managed care department for more information. Participation in these plans is subject to change.

  • Aetna
  • Humana
  • Benefit Management
  • United Healthcare
  • Blue Cross/Blue Shield of LA
  • PPO Plus
  • CIGNA Healthcare
  • Tricare/Humana Military
  • Coventry Health Care
  • Multiplan
  • First Health
  
   

Payment Policy

Payment is due at the time of service. We accept Visa, MasterCard and Discover, as well as cash and personal checks. If we participate in your health plan and your visit is covered, the cost to you may only be a co-pay of $5 to $20. Walk-in fee without an appointment is an additional $5.00.