Insurance & Fees
The following is the list of insurances with which we participate. This will be updated from time to time as needed:
- Alliance/One Net
- Amerigroup MCO
- Blue Cross/Blue Shield
- Great West
- Priority Partners MCO
- United Healthcare Choice Plus &, PPO, & MCO
*Medicaid participation is optional and varies amongst Privia Medical Group providers – please verify participation prior to your visit.
Note: You should always check with your Privia Medical Group provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.
We accept cash, Visa, Mastercard, Discover, American Express, and personal checks.
Card on File Policy
Providing the highest quality of care, ensuring your satisfaction, and your time is most important to us. For us to meet those goals, we are instituting new financial policies for our practice.
Effective January 1, 2016:
- Co-payments and outstanding balances will be due at time of service.
- We ask that all patients checking-in will be registered with a Card on File agreement.
- Fees will be charged for late cancellations and appointment no-shows.
At check in, we will settle any prior balance and your copay. We will also register patients with a Card on File agreement, similar to storing your card with a favorite website but here at your doctor’s office. This will offer a quicker payment option. We will securely store your card making check-in more convenient. Your card will only be charged when a balance is incurred. You’ll receive an e-mail notification 5 days in advance of the charge, so you can give us a call if you have any concerns.
Village Pediatrics does not store the credit card; it is stored by Elavon, a secure credit card processor consistently rated among the 5 global payment providers. Also, because we are a doctor’s office, we have stricter computer security than most retail or online environments.
If you have any further questions, please don’t hesitate to contact us at 410.235.1601.
At Village Pediatrics, we do our best to keep medical cost down. You can help a great deal by providing accurate and updated insurance and contact information at every office visit. You can also help by adhering to our office policies and the financial policies stated below. These are policies regulated by law and are placed to help ease the billing process. This allows the process to proceed smoothly. The following is a summary of our billing and payment policy:
ALL PAYMENTS ARE DUE AT THE TIME OF SERVICES RENDERED and are collected at the time of check-in. This includes co-pays, co-insurance, deductibles, and/or outstanding balances. The guarantor is responsible for any charges not covered by the insurance plan, including charges for services that the insurance company deems “not medically indicated.”
These charges may not coincide with standard medical management suggested by The American Academy of Pediatrics and are determined by your insurance provider. The co-pay is determined by the insurance plan that has been chosen by the guarantor and is a contractual agreement that is required to be fulfilled by law. As a reminder, billing the health insurance company is a courtesy that we as healthcare providers submit on behalf of the patient.
Families with outstanding balances must arrange to make the payment prior to scheduling visits. Our staff will be happy to complete the transaction by phone. We realize that people have financial difficulty; however, payments are due before your next appointment. When statements are sent to the guarantor, payment is due within 30 days of the documented billing date. If payment is not received in a timely manner, our collections department will exercise all legally available options until the outstanding financial obligation is fulfilled.
When visiting our office, please bring your most current insurance card to ensure the information (group number, provider number, etc.) is valid at the time of service. Incorrect or out-of-date information will delay your insurance claim and may make you responsible for the full or partial payment. Your insurance card is similar to your valid driver’s license.
Please remember that we cannot accept responsibility for collecting or negotiating claims with your insurance provider. The contract that you have accepted for your family is a bound commitment between yourself and the insurance company. We will, however, gladly assist in the completion of required documents and will supply you with any additional information to process the claim. Just call our Billing Coordinator, Rhonda Davis, between 10 am and 3 pm, Monday through Friday. If not immediately available, the coordinator will respond within 1-2 business days.