Our Insurance Policy
Our Billing Policy
Sick Visits During A Well Child Checkup
If your account is delinquent and is turned over to our collection agency, you will be asked to find a new provider.
*If you have any questions please call 314-849-3320 Option 5 or email billing@socopeds.com
- As a courtesy, we will submit your claims to your insurance for payment. It is required for us to report to your insurance carrier the exact services that were performed in our office on the date they were performed. Your insurance carrier will then dictate what is covered and if you are required to pay a co-pay, co-insurance, or deductible. We try our best to collect the proper amounts at the time of service, but you may receive a statement from us if additional funds are due as determined by your insurance company, and you are responsible for making that payment to us within 30 days. We cannot adjust any dates of service or services performed to accommodate your insurance coverage.
- Please remember that insurance coverage varies for each patient. Even if your insurance company is on our preferred list, we cannot guarantee your specific insurance plan will cover a service we perform or a vaccine given. If you have any questions about your coverage, please contact your insurance company.
- We accept almost all major commercial insurance plans. Major carriers are Aetna, Anthem Blue Cross Blue Shield, Cigna, Healthlink, and United Health Care. If you are unsure, please call our office to find out if we accept your insurance. We DO NOT accept any Medicaid or marketplace plans.
- Insurance plans contain different covered services. It is your responsibility to know what is covered prior to the visit. If you do not decline the service during the visit, services rendered will automatically be billed to the insurance company.
Our Billing Policy
- Our billing statements go out at the beginning of the month for any amounts owed.
- All bills are due within 30 days of the billing date. After 90 days if bill has not been paid, collection proceedings will start and your information will be turned over to our collection agency. Any delinquent amounts will show on your credit report until paid in full. A 15% collection fee will be added to any account turned over to the collection agency.
Sick Visits During A Well Child Checkup
- Please be advised that if your child is treated for anything not inclusive during a well-child exam, we are required to bill a sick visit in conjunction with the well visit, per AMA guidelines. It is the policy of this office that the doctor will use their discretion to decide if a sick visit will be billed in conjunction with the well visit. Any copay or out-of-pocket cost will be billed on your next statement.
If your account is delinquent and is turned over to our collection agency, you will be asked to find a new provider.
*If you have any questions please call 314-849-3320 Option 5 or email billing@socopeds.com
