Business Office and Credit Policy
In order to assist you in understanding your payments for care rendered by our clinic, we wish to clarify our credit policy.
*Hereafter PEDIATRIC & YOUNG ADULT MEDICINE will be referred to as P.Y.A.M.
At the time of your registration you (or your representative) will be asked to present your insurance card. We will process all claims for those patients who present acceptable medical insurance. This includes those covered by HMO’s, PPO’s, Medical Assistance, and Medicare, as well as those holding private commercial policies. Please bring all your insurance identification with you for registration and give it to our receptionists to be copied for your chart.
Medical insurance plans generally do not provide full coverage for your bill. Your coverage is a contract between you and your insurance company, and while we will cooperate to the fullest in expediting your claim, you are ultimately responsible for your account. If, after a reasonable amount of time (60 days), your insurance company has not processed the claim, you will be responsible for paying this claim. ALL HMO’s and PPO’s accounts will be held until your insurance company has processed your claim.
Price information in compliance with MN 62J.812
As stated previously, we will process all insurance claims. If you do not have insurance or refuse to assign your insurance benefits, you will be requested to make payment in accordance with the policy for uninsured patients.
All accounts are due within 30 days of receiving your itemized statement.
Special arrangements can be made by contacting our business office.
PAYMENT ARRANGEMENTS/DELINQUENT ACCOUNTS
Accounts are due in full each month. Accounts over 60 days are considered delinquent. On accounts over 90 days past due, a finance charge of 12% per year or 1% per month on the outstanding balance will be applied.
Payments can be arranged by calling our business office at (651) 227-7806. Special consideration will be given for prolonged illness, unemployment, or other unusual circumstances.
Some insurance policies request pre-authorization for certain office procedures. It is your responsibility to know your policy and be certain that you receive approval from your insurance company before you receive these extra services (example: skin testing). Failure to do so may mean that the insurance company will not pay for the services rendered. If you are not sure about a particular services, please call the customer service line at your insurance company.
The phone number should be listed on your insurance care.
If you are eligible for medical assistance, please present your current card whe
n you arrive for any service. P.Y.A.M. will submit copies of your bill to medical assistance for payment.
We do participate in the HMO Medical Assistance for Ramsey County and Dakota County. We are providers for the county programs through the following insurance companies; U-Care, Blue Plus and Medica-Choice. You will need to sign up with our clinic for U-Care or Blue Plus. (You may use any one of our clinics; St. Paul, Maplewood or Eagan). You should present your card every time you come in, written on your card should be PEDIATRIC & YOUNG ADULT MEDICINE.
VISA, MasterCard, Discover, and American Express are accepted for your convenience.
In situations where payment responsibility is in question, it is the policy of P.Y.A.M. to hold the custodial care giver responsible for the account.
You will be offered a receipt when making a payment in our office. Please accept and retain this receipt. It may be necessary for tracing your payment at a future date. Reproducing check copies, etc. will be the responsibility of the patient. Business Office: (651) 227-7806, Option #5
THANK YOU FOR CHOOSING PEDIATRIC & YOUNG ADULT MEDICINE FOR YOUR CHILDREN’S CARE.
BUSINESS OFFICE: (651) 227-7806 Option #5
What is covered in my Well Child Check Up?
- Physical Exam
- Weight, Height, Blood Pressure and Pulse
- Review of Medical History
- Nutrition and healthy lifestyle assessment
- Anticipatory guidance and other prevention strategies to promote healthy living
- Assessment of growth and development
- Immunization review
- Medication Review (PLEASE bring ALL your medications to your appointment)
- Allergies/adverse drug reactions review
- Minor problems like most diaper rashes, etc which do not require prescription medication or referral
- Vision screening
- Hearing screening
- Cholesterol screening depending on age
- Developmental screening and assessment
- Behavioral health screening and assessment
Pay Bills Online
i-Health makes it easy and convenient to pay your bill. From the main page of our website, click on the Pay Bill link at the top of the page. You can pay online by eCheck, VISA, American Express, MasterCard or Discover. Be sure to have your statement and payment method readily available when making your payment.
If you have any questions regarding your billing statement, please call our Customer Service Team at 952.512.5625.
Q. I received services at PYAM. Why does my explanation of benefits (EOB) and statement indicate services were provided by Infinite Health Collaborative?
A. PYAM is one of multiple physician practices that operate under the legal business name of Infinite Health Collaborative. Although our legal business name has changed, we will continue to offer the comprehensive solution for your pediatric care. PYAM will continue to be operate under the name “Pediatric and Young Adult Medicine” even though our legal business name has changed.
Q. When will I receive my first statement?
A. PYAM will submit a claim on your behalf to your insurance carrier. After your insurance provider processes your claim, PYAM will send you a statement outlining any out-of-pocket costs you may have. Your statement will include any deductibles and/or co-insurance amounts you may owe. You will receive a statement approximately 30 days after you receive services. Co-payments are due at the time of service.
Q. Should I bring my insurance card with me?
A. Yes, PYAM will need the information on your insurance card to correctly file a claim with your insurance company. You will be asked to present your insurance card at each visit.
Q. Do I need a prior authorization?
A. The need for a prior authorization differs by insurance plan and the type of procedure or service being provided. PYAM will initiate the prior authorization request from your insurance company for you; however, it is your responsibility to make sure that you have prior authorization before receiving certain health care procedures and/or services.
Q. Why didn’t my insurance company cover my entire bill?
A. Out-of-pocket expenses are determined by your insurance plan during claim processing. These amounts may include co-payments, deductibles, and/or co-insurance. If you have questions or don’t agree or understand the amounts you owe, please contact your insurance company directly as they determine patient responsibility amounts for any services provided to you based on your insurance plan contract.
Q. When do I become responsible for my bill?
A. You are responsible for your bill at the time you receive services from PYAM. We will work with you and your insurance company to get all eligible benefits processed in a timely manner. We will send you a statement approximately 30 days after you receive services for any patient responsibility amounts you may owe.
Q. I have received my first statement and I am not able to pay my entire balance. Does PYAM/IHC allow flexibility in payment terms?
A. While PYAM encourages patients to pay in full after your first statement, we understand that some may need flexible payment options. PYAM does offer some limited payment plans based on your balance. Length of time allowed is also based on your balance. If you need greater flexibility than what PYAM can offer, we do have a relationship with Care Credit. More information on Care Credit can be found on our website.