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rendered in compliance with your insurance. This is part of our contract and
yours with the insurance company. There will be a $5.00 per child service
fee if payment is not made at the time of service.
** Payments are due at the time services are rendered for our self-pay
patients.
** We participate with a great number of networks. It is your responsibility to
make sure we are part of your network.
** If insurance coverage cannot be verified at the time the services are
rendered, payment must be made at said time. We will file your insurance
and after we receive payment from your insurance company a refund check
will be issued.
** A balance not paid within 30 days from the date of the statement will
accrue a $10.00 monthly service fee.
** Insurance is filed as a courtesy. Should payment not be received within 90
days, you will be responsible for the balance on the account and charges will
be transferred to you.
** Some insurance companies may request information from you to pay our
claims. Please answer their request as soon as possible so claims will not be
put on hold until the information is received.
** In case of any overpayment by you towards your account, a refund check
will be issued.
** If you have any questions about your statement or account, please contact
the billing department at 321-452-1061 Ext. 14 or 15. Or email
laura@atlanticcoastpediatrics.com. After hours please leave a daytime
phone number and we will return your call as soon as possible.Please do not
send and personal information on the email communications as this is not a
secure web site. Only general questions such as balance information or
insurance status.
