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.
INSURANCE IDENTIFICATION
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.
PROVIDER POLICY
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.
UNINSURED POLICY
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.
PRE-AUTHORIZATION
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.
MEDICAL ASSISTANCE
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.
CREDIT CARDS
VISA, MasterCard, Discover, and American Express are accepted for your convenience.
DIVORCE/LITIGATION PROCEEDING
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.
RECEIPTS
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
Infinite Health Colleaborative (i-Health)
Pediatric & Young Adult Medicine is an operating division of Infinite Health Collaborative (i-Health). i-Health is a group of local medical practices, independently owned and led by its physicians. Visit i-Health.com to learn more about the specialties and services of each practice. i-Health physicians focus on patient choice, and share core principles of physician autonomy, quality, value-based care and innovation. By enabling physician practices to remain independent and encouraging patients to be active participants in their healthcare decisions, i-Health preserves true, patient-first care. All your billing and insurance explanation of benefits (EOB) will display the legal business name of “Infinite Health Collaborative. “
Pay Your Pediatric & Young Adult Medicine Bill
Pediatric & Young Adult Medicine /i-Health makes it easy and convenient to pay your bill. Please click on the button below to pay your bill. 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.
NOTICE: Our online bill payment is powered by Health iPASS. We do not have an affiliation with any other online bill payment directory or processor. Pediatric & Young Adult Medicine will submit a claim on your behalf to your insurance carrier. After your insurance provider processes your claim, you will receive a text message (on average 30 days from your visit) prompting you to pay your bill through our online billing system Health iPASS (you will also see a logo for Infinite Health Collaborative (i-Health) on the page). You will receive a reminder text message after several days if no action is taken before you are sent a paper statement from i-Health. Your statement will outline any out-of-pocket costs you may have. Your statement will include any deductibles and/or co-insurance amounts you may owe. Co-payments are due at the time of service.
If you have any questions regarding your billing statement, please call our Customer Service Team (staffed by Revo Health) at 952-512-5625.
Pay Your Bill Through CareCredit
CareCredit is a healthcare credit card designed for your health and wellness needs. It’s a way to pay for the costs of many treatments and procedures and allows you to make convenient monthly payments. Click on the button below to pay your bill through your CareCredit account or to set you a new account.
For questions regarding your CareCredit account, please contact them directly at 800-365-8295.
Billing Questions
Click here to read additional information and frequently asked questions (FAQs) about paying your bill.
Clinic here for a copy of our medical debt collection policy.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 952-512-5625.
Billing/Financial FAQ
As a patient, you may have questions regarding your bill. We have listed some common questions and answers for you that will help explain and provide additional information about your bill.
Q. I received services at Pediatric & Young Adult Medicine. Why does my explanation of benefits (EOB) and statement indicate services were provided by Infinite Health Collaborative?
A. Pediatric & Young Adult Medicine 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 INSERT SERVICE LINE care under the name Pediatric & Young Adult Medicine.
Q. When will I receive my first statement?
A. Pediatric & Young Adult Medicine will submit a claim on your behalf to your insurance carrier. After your insurance provider processes your claim, you will receive a text message (approximately 30 days after your visit) prompting you to pay your bill through our online billing system Health iPASS. You will receive a reminder text message after 60 days. If no action is taken at that point, you will be sent a paper bill from i-Health. Your statement will outline any out-of-pocket costs you may have. Your statement will include any deductibles and/or co-insurance amounts you may owe. Co-payments are due at the time of service.
Q. Should I bring my insurance card with me?
A. Yes, Pediatric & Young Adult Medicine 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 referral?
A. The need for a referral differs by insurance plan. Please contact your insurance company directly prior to scheduling an appointment to inquire whether Pediatric & Young Adult Medicine is in-network for your health plan. Obtaining a referral is the responsibility of the patient.
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. Pediatric & Young Adult Medicine 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 Pediatric & Young Adult Medicine. We will work with you and your insurance company to get all eligible benefits processed in a timely manner. We will send you information on paying your 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 Pediatric & Young Adult Medicine allow flexibility in payment terms?
A. While Pediatric & Young Adult Medicine encourages patients to pay in full after your first statement, we understand that some may need flexible payment options. Pediatric & Young Adult Medicine 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 Pediatric & Young Adult Medicine can offer, we do have a relationship with Care Credit.
CareCredit is a healthcare credit card designed for your health and wellness needs. It’s a way to pay for the costs of many treatments and procedures and allows you to make convenient monthly payments.
For questions regarding your CareCredit account, please visit the Payment and Billing page on our website or contact CareCredit directly at 800-365-8295.