Services

Appointments

We ask that you make appointments for routine well child care as far ahead as possible. As all parents know, there are a number of unpredictable injuries and illnesses that require urgent attention. Due to our commitment to same day care of our injured or ill patients, it is possible that you may be seen later than your scheduled visit time. We apologize in advance for any inconvenience this may cause, but we also commit to being available for you and your family if you find yourselves in need of our same day service.

Back to Top

Physician Calls

We feel that it is very important that parents be able to speak to their child’s physician to discuss concerns or ask questions. We also realize that it can be quite difficult to arrange a callback time, and some issues are too urgent to wait. For these reasons, our physicians will always try to speak to you when you call. If your physician is unavailable you will be transferred to the reception staff who will offer to have you speak with another doctor or send your call back in queue for your pediatrician. During periods of high-volume calls, be certain that we are making every effort to attend to your calls as quickly as possible.  Within just a few months, you will also be able to access your physician by e-mail through our new patient portal.  If you are calling for a prescription refill, please be sure to have your pharmacy phone number available. Refills are called into your pharmacy only during office hours to assure that your medical records are available to your physician. All after hours requests for prescriptions refills will be denied. If you are calling after office hours, please call our office number and you will be routed directly to our answering service. If the situation is life threatening, call 911. If you require medical attention after office hours, you will likely be instructed to proceed to St. Paul Children’s Emergency Department where a pediatrician, trained in emergency medicine, will be available to evaluate and treat our child. They will then contact our on-call physician.

We are pleased that you have chosen Pediatric and Young Adult Medicine. Please let us know how we can serve you and your family better.

Back to Top

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.

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 when 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 responsiblity 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 #3

THANK YOU FOR CHOOSING PEDIATRIC & YOUNG ADULT MEDICINE FOR YOUR CHILDREN’S CARE.

BUSINESS OFFICE: (651) 227-7806 Option #3

REFERRAL LINE: (651) 227-7806, Option #6

Back to Top

Referrals

Referral Process:

1. Contact your primary physician by phone or apointment.

2. Contact the Referral Department for the specialists contracted with your insurance.

3. Schedule appointment with specified specialist.

4. Contact Referral Department with appointment information PRIOR to your appointment to insure payment on a timely basis and avoid rejected claims.

5. Contact our office with any additional specialist services. Each service must have a referral including, follow up visits, surgeries, etc.

6. Requests for retroactive referrals will require review.

7. REFERRAL LINE: (651)227-7806 option #6

Back to Top