More information about plans, billing, and verifying coverage.
Most of the services we provide are covered and paid by the majority of insurance plans. Our business office is happy to file the claims for you to save you time and effort.
However, all our services are rendered to the patient and not to the insurance company. This means all charges, regardless of insurance coverage, are the patient’s responsibility. It’s also the patient’s responsibility to verify specific coverage details with their insurance carrier.
We ask for payment of your portion at the time of service (co-pays, co-insurance, deductibles). We also ask that if your insurance has not paid within 45 days that you follow up with them. Our office contracts with most insurance companies including the following:
Same-day appointments are available at any of our full-service Salt Lake area offices.
Federal law requires that we submit every claim to an insurance company accurately, reporting the exact services performed and the exact reason for performing them. We’re not allowed to change this information in order to affect the insurance eligibility of a claim. Our practice is committed to these laws and we submit all claims in this manner.
During your child’s well-checks, we’ll update all of his/her known conditions as well as look for any new problems. Unless there is some major new finding during this examination, we must submit the service to your insurance company as a well child exam, which may or may not be covered by your insurance company. Additionally, if a significant new medical problem should present itself during a well check, an additional service may be billed.
We realize that often medical expenses are not anticipated, and we’re willing to work with you in advance to make financial arrangements. In order to do so, we must know that there is a need for an exception to our policy. If you have any questions or concerns, please ask.