Payment at time of service is expected unless you have insurance with one of the plans with which we participate, and verified coverage for service rendered. A list of the insurance plans with which we participate is presented below. Services covered by other insurance carriers should be paid for at the time of service as reimbursement will be made directly to you by the carrier. Although health insurance is designed to help you meet the cost of your medical care, the basic responsibility for payment is yours.
Insurance Benefit Verification:
Regardless of our participation with your insurance carrier, we must verify all Well Care benefits and immunization coverage. This will be done by us prior to your appointment when possible. New patients, and those with new insurance coverage, will have eligibility and benefits verified when they check out. We apologize for the delay this may cause, but we have found it to be necessary due to the variations in well and sick care benefits. We must ask for payment in full at time of service where insurance benefits are not available for services rendered or when verification of benefits is not possible, i.e., evenings, weekends, holidays.
Our billing of charges to your insurance company does not represent all or guaranteed payment of your bill, nor should it be considered a release of responsibility on your part for services rendered. We provide a monthly statement to keep you informed about any outstanding charges or residual balances owed on services processed by insurance. We will be happy to answer your questions or assist you whenever possible; however, it is your responsibility to follow up on charges we have submitted to your insurance carrier.
You are required to pay any insurance co-payments at the time of service as stipulated by your insurance carrier for office visits. Your cooperation with this policy will eliminate the necessity of costly billing statements each month to collect these small fees from you.
We currently participate in the following insurance plans:
Please call for verification and any updates
Anthem BCBS (not HealthKeepers)
One Net PPO
Carefirst BCBS PPO / Blue Choice
PHCS PPO, not POS
Virginia Health Network
For questions concerning billing and insurance, please call us any weekday between the hours of 10:00AM and 1:00PM, and between 2:00PM and 5:00PM.
Changes of Insurance Carrier, Home Address or Contact Numbers:
Please note that it is your responsibility to inform us of any insurance changes. Failure to do so may result in reduced benefits. Please be sure that you inform our office staff of any new address changes or new phone numbers before you are seen for your appointment. This will allow for time needed to fill out a new Registration Form or to have your new numbers noted in your records. This is very important should we need to contact you regarding your child's test results.