Finacial Policy

When a patient is registered with Kids First Pediatric Partners, the parent or guardian seeking care is financially responsible for time-of-service payments. Parents and guardians will be held responsible for understanding coverage limitations and for dollar amounts not covered by insurance. If insurance information is not provided within 90 days of the date of service, Kids First Pediatrics will not submit claims to the insurance company.

All outstanding balances are due within 14 days upon receipt of your financial statement from Kids First Pediatric Partners. Failure to pay these balances may result in further collection activity or dismissal from the practice.

If a divorce or custody decree requires another party to pay all or part of the costs, it is the authorizing parent’s responsibility to collect from the other parent. Kids First Pediatrics will not intervene to determine a parent’s responsibility for payment.

Self-Pay Patients

If you don’t have health insurance, we are out-of-network for your particular insurer, or you are receiving a non-covered service, payment at the time of the visit is required. We are happy to work with families to create a payment plan for any non-covered services.

Payment Plans

Because we understand families may undergo financial hardship, we do offer payment plans. Your first payment will be due upon signing of the written agreement. Payment amounts will be based on the amount owed. No payment plan will be given for amounts less than $100. If your payment plan is in default, the balance will be due in full. Failure to pay may result in further collection activity or dismissal from the practice.

Professional Services Rendered

Kids First Pediatrics will file claims for services rendered based on documentation in the medical record and in accordance with coding/billing guidelines. To ask the office to change a diagnosis solely for the purpose of securing reimbursement from your insurance company is inappropriate and fraudulent and will not be done.
If the patient is seen for a scheduled preventive visit and another condition is treated at the same time, the provider will bill for each service performed in accordance with coding/billing guidelines.

Annual Administrative Fee

Our practice charges an annual administrative fee of $35 per child, with a maximum of $70 per family. This fee helps cover the cost of administrative services, such as completion of forms, school/camp/daycare paperwork, medical record requests, electronic communications, and other non-covered administrative services. The fee is separate from charges for medical care, is not billed to insurance, and does not replace any applicable copayments, deductibles, or other patient responsibilities.

Refunds

Refunds will be issued on accounts with a credit of $50 or more. All accounts with credits less than $50 will have funds held for use at future visits.

Missed Appointments

Appointments must be canceled 24 hours prior to your scheduled visit. You may incur a no-show fee for visits not canceled 24 hours prior to the visit. No-show fees are $50.00 per visit. Payment of these assessed fees will be required prior to your next visit. Repeated missed appointments may result in discharge from the practice.

Returned Checks

If you pay by check and your check is returned for any reason, you will be responsible for amount of the check, plus a returned check fee of $35. All future payments must be made by cash or credit card to prevent those situations from recurring.