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