At Inwood Village Pediatrics, our number one priority is to provide top-notch quality of care for our families. The information below is provided to assist you and your family in understanding the insurance process, financial policies of our office, and the obligations and responsibilities of the family.

PPO Insurance

We accept commercial PPO insurance. It is the responsibility of the patient to know if your provider is in-network with the insurance you present. You can get this confirmation from your insurance company prior to your visit.

If you have specific questions about your policy, please feel free to call our office with questions.

Filing Insurance Claims

Inwood Village Pediatrics files primary insurance claims for all health plans in which we participate. We will not file secondary insurance claims.

Patient Financial Responsibility

Payment is due at the time of service: For patients without insurance or who have insurance that is not accepted by our office, payment is due at time of service for both sick and well visits. Copays and balances are expected at time of service. If needed, contact the billing office to work out a payment plan for outstanding or anticipated charges.

Whenever insurance denies payment for a service, it is your responsibility to cover the charges, including vaccine charges, even while you may choose to review your benefits with your insurance provider.

The patient or adult person presenting with the patient is responsible for satisfying the copay. Minors must be accompanied by an adult. Regardless of court decision concerning health care in the case of divorced parents, prompt payment is expected from the presenting parent. Our office considers both parents responsible for payment of services rendered.

Patient balances should be paid in full or have a payment plan arranged before medical records are sent to another pediatrician’s office. Please feel free to contact our billing department with questions or to pay by phone: (877) 599-7639 x4270.

Newborn and Dependent Changes and Insurance

Upon the birth of a newborn dependent, adoption or other change to a dependent status, you must contact the employer and/or health plan to add new dependents within the time limits defined by the health plan. Most insurance companies require notification of the change within 30 days from the date of birth, adoption or event date. If you already had dependent coverage prior to the birth of a newborn, adoption, etc, please be advised the insurance company will not automatically add the new dependent to the health plan. Failure to add the new dependent may result in a lapse of insurance coverage for the new dependent. All services provided during the lapsed time are the responsibility of the patient. Contact the employer or health plan with further questions regarding this process.

Final Reminder

Please note that payment collected at the time of service may not reflect the full patient responsibility after insurance. Our office is not responsible for any limitations in coverage that may be included in your plan. Should your health plan deny claims for any of the above reasons, you will then become responsible for the bill. It is the responsibility of the patient to pay denied amounts in full. We advise our families to understand their insurance benefits and review explanation of benefits and patient billing statements carefully. If you feel there has been an error, always contact the appropriate party with questions within a timely manner. Anytime the patient is aware there will be a delay in payment, whether by the patient or insurance, it is important to notify our billing office of the situation. Inwood Village Pediatrics understands that circumstances can sometimes arise. However, to allow additional time to pay, work through insurance problems or to establish other payment arrangements, we must be informed.