Financial Policies
Thank you for choosing Reading Pediatric Associates. We are committed to providing you with the best possible care. Please read through our “Financial Policies” to help you better understand how your healthcare visits are billed and inform you when deductibles and copays may apply depending on your insurance plan.
TYPE OF OFFICE VISITS
Well Visits, Sick Visits and Combo (Well & Sick) Visits
• Well Visits – a well visit is defined as your annual physical exam. Most insurance plans no longer charge a copay for well visits, however, check with your insurance company to see if you have a plan that still requires it.
• Sick Visits – a sick visit or “problem” visit will be charged a copay and may have fees that are charged to your deductible.
• Combo Visits (Well & Sick) – a combo visit is scheduled for patient convenience and is essentially a Well Visit and a Sick Visit combined in a single trip to the doctor’s office. If your provider addresses a specific health issue beyond the routine physical exam, this would be defined as a combo visit. In these cases, the defined Well Visit will be covered according to your plan, and the defined Sick Visit may be charged to your copay or deductible.
The following are examples to provide clarification:
Example 1: An infant comes in for a routine physical exam and immunizations. The infant also has a cold and fever and is found to have an ear infection requiring antibiotic treatment. This visit would be considered a combo visit and the provider will bill for the physical exam PLUS an additional charge for the ear infection and the parent will be responsible for a deductible and/or copay according to the patient’s insurance plan.
Example 2: A child is seen for their routine physical exam. The child has asthma, and the provider determines that the asthma is not well controlled and changes the patient’s medications and creates a new asthma action plan. This visit would be considered a combo visit and the provider will bill for the physical exam PLUS an additional charge for asthma management and the parent will be responsible for a deductible and/or copay according to the patient’s insurance plan.
Example 3: A child is seen for their routine physical exam. The child has asthma that is well controlled with the medications they are on according to their current asthma action plan. Since no changes are needed to be made to their medications and/or treatment plan the provider will bill only for their well visit.
Thank you for choosing Reading Pediatric Associates. We are committed to providing you with the best possible care. Please read through our “Financial Policies” to help you better understand how your healthcare visits are billed and inform you when deductibles and copays may apply depending on your insurance plan.
TYPE OF OFFICE VISITS
Well Visits, Sick Visits and Combo (Well & Sick) Visits
• Well Visits – a well visit is defined as your annual physical exam. Most insurance plans no longer charge a copay for well visits, however, check with your insurance company to see if you have a plan that still requires it.
• Sick Visits – a sick visit or “problem” visit will be charged a copay and may have fees that are charged to your deductible.
• Combo Visits (Well & Sick) – a combo visit is scheduled for patient convenience and is essentially a Well Visit and a Sick Visit combined in a single trip to the doctor’s office. If your provider addresses a specific health issue beyond the routine physical exam, this would be defined as a combo visit. In these cases, the defined Well Visit will be covered according to your plan, and the defined Sick Visit may be charged to your copay or deductible.
The following are examples to provide clarification:
Example 1: An infant comes in for a routine physical exam and immunizations. The infant also has a cold and fever and is found to have an ear infection requiring antibiotic treatment. This visit would be considered a combo visit and the provider will bill for the physical exam PLUS an additional charge for the ear infection and the parent will be responsible for a deductible and/or copay according to the patient’s insurance plan.
Example 2: A child is seen for their routine physical exam. The child has asthma, and the provider determines that the asthma is not well controlled and changes the patient’s medications and creates a new asthma action plan. This visit would be considered a combo visit and the provider will bill for the physical exam PLUS an additional charge for asthma management and the parent will be responsible for a deductible and/or copay according to the patient’s insurance plan.
Example 3: A child is seen for their routine physical exam. The child has asthma that is well controlled with the medications they are on according to their current asthma action plan. Since no changes are needed to be made to their medications and/or treatment plan the provider will bill only for their well visit.
Thank you for choosing Reading Pediatric Associates. We are committed to providing you with the best possible care. Please read through our “Financial Policies” to help you better understand how your healthcare visits are billed and inform you when deductibles and copays may apply depending on your insurance plan.
TYPE OF OFFICE VISITS
Well Visits, Sick Visits and Combo (Well & Sick) Visits
• Well Visits – a well visit is defined as your annual physical exam. Most insurance plans no longer charge a copay for well visits, however, check with your insurance company to see if you have a plan that still requires it.
• Sick Visits – a sick visit or “problem” visit will be charged a copay and may have fees that are charged to your deductible.
• Combo Visits (Well & Sick) – a combo visit is scheduled for patient convenience and is essentially a Well Visit and a Sick Visit combined in a single trip to the doctor’s office. If your provider addresses a specific health issue beyond the routine physical exam, this would be defined as a combo visit. In these cases, the defined Well Visit will be covered according to your plan, and the defined Sick Visit may be charged to your copay or deductible.
The following are examples to provide clarification:
Example 1: An infant comes in for a routine physical exam and immunizations. The infant also has a cold and fever and is found to have an ear infection requiring antibiotic treatment. This visit would be considered a combo visit and the provider will bill for the physical exam PLUS an additional charge for the ear infection and the parent will be responsible for a deductible and/or copay according to the patient’s insurance plan.
Example 2: A child is seen for their routine physical exam. The child has asthma, and the provider determines that the asthma is not well controlled and changes the patient’s medications and creates a new asthma action plan. This visit would be considered a combo visit and the provider will bill for the physical exam PLUS an additional charge for asthma management and the parent will be responsible for a deductible and/or copay according to the patient’s insurance plan.
Example 3: A child is seen for their routine physical exam. The child has asthma that is well controlled with the medications they are on according to their current asthma action plan. Since no changes are needed to be made to their medications and/or treatment plan the provider will bill only for their well visit
WELL-CHILD VISIT EXAMINATION SCHEDULE
WELL-CHILD VISIT EXAMINATION SCHEDULE
• 2 Weeks
• 1 Month
• 2 Months
• 4 Months
• 6 Months
• 9 Months
• 12 Months
• 15 Months
• 18 Months
• 2 Years
• 2.5 Years (30 Months – some insurance carriers may not cover this 30-month visit, please be sure to check with your specific insurance plan prior to scheduling. )
• Annually for ages 3+ Year
*Newborn follow up appointments (often 1-2 days after discharge from the hospital) and any other appointments prior to the 2-week check up do not fall under the well-child visit schedule. Depending on your insurance plan, these appointments may be subject to a copay, deductible, or co-insurance.
• 2 Weeks
• 1 Month
• 2 Months
• 4 Months
• 6 Months
• 9 Months
• 12 Months
• 15 Months
• 18 Months
• 2 Years
• 2.5 Years (30 Months – some insurance carriers may not cover this 30-month visit, please be sure to check with your specific insurance plan prior to scheduling. )
• Annually for ages 3+ Year
*Newborn follow up appointments (often 1-2 days after discharge from the hospital) and any other appointments prior to the 2-week check up do not fall under the well-child visit schedule. Depending on your insurance plan, these appointments may be subject to a copay, deductible, or co-insurance.
NO SHOW AND CANCELLATIONS
We understand life can be hectic and conflicts arise, however we do expect that you will make every effort to attend all scheduled appointments. A significant amount of time has been allotted for these appointments and we would like to offer this time to other patients if you are unable to keep your appointment time. Any missed appointment without sufficient notification is considered a “no show”. For check ups and other appointments booked in advance, we ask that you provide at least 24 hour notice for cancelling or rescheduling. In the event of patients booked same day for urgent/sick appointment times, we ask that you provide a minimum of 3 hours in advance notice of cancellation for same day booked appointments. Please be aware that no show appointments and cancellation that do not meet the sufficient notification outline above will be subject to a $50 fee.
ROUTINE VISION, HEARING EXAMS, & OTHER
Please be aware that we perform routine vision and hearing assessments during well visits, as well as rapid and molecular tests on our patients during certain sick visits. These services may or may not be covered by your particular insurance plan. You may also incur a deductible and/or coinsurance for these services. If you do not wish to receive a hearing or vision exam, please inform our staff at the beginning of your visit.
BEHAVIORAL ASSESSMENTS & DEVELOPMENTAL SCREENINGS
In accordance with standards of pediatric care and American Academy of Pediatrics guidelines, we offer early and periodic screening of behavioral and developmental health problems at all well visits. These screening questionnaires allow us to provide your child with the best possible care. Please be advised that some insurance companies may not fully cover these assessments and you may incur a co-insurance or deductible amount for these screenings. It is your right to decline these developmental screening forms at the beginning of your visit.
SPORTS PHYSICAL
A Sports Physical is a separate exam and protocol from an annual physical and is designed specifically for clearance to play sports. This visit is generally not covered by many insurance plans. We recommend that you contact your insurance company to inquire about coverage, deductibles, and out of pocket costs for sports physicals. Please anticipate that you may be billed for this visit, and it will be your financial responsibility.
MOTOR VEHICLE ACCIDENTS & WORKERS COMPENSATION CLAIMS
Please tell us if this visit or injury is due to a car accident or work injury. We will need to get the MVA or WC case info and billing info and submit the appropriate paperwork or reimbursement forms for coverage. It is the responsibility of the patient/guardian to provide us with all necessary information at the time of the visit. Generally medical insurance will not cover these injuries. You may be billed and will need to seek reimbursement from the car insurance or worker’s comp insurance company.
INSURANCE AND PAYMENTS
Responsibility for the Bill:
It is the expectation that all patients/ guarantors receiving services are financially responsible for the timely payment of all charges incurred. While the practice will file a claim(s) to the insurance company on file as a courtesy to the patient, the patient/guarantor is ultimately responsible for payments and agrees to pay the account(s).
Not all visits, services, treatments, supplies, and medications are covered by insurance. It should be understood that by accepting the visit and care, the patient/guarantor is responsible for payments of any fees not covered by insurance.
In the event parents are divorced or separated:
• The guarantor will be listed as the parent that holds the insurance, and they will receive the bills.
• The parent/guardian that brings the child to the appointment will be responsible for payment of the copayment and any outstanding balances at the time of check-in for that visit.
• We cannot and will not mediate any financial disputes between parents.
Updating your insurance:
We cannot bill your insurance company unless you provide us with your current insurance info, including a copy of the card, and keep your address and all insurance information up to date. The patient/guarantor is responsible for providing the office with current information at each visit. Failure to provide current insurance information will result in the cost of the visit becoming the patient’s responsibility.
Your insurance plan is a contract, and you are contractually obligated to pay any copayments, deductibles, or co-insurances as defined by your plan. Please be familiar with your insurance plan, including how the copays, deductibles, and co-insurances work, and if you need to use a specific lab, imaging, or specialist networks.
The office cannot tell you in advance what the exact fees for the visit will be, nor if they will be covered by your insurance. Each insurance company has multiple plans, and each employer plan is structured differently with different coverage levels. Please direct coverage questions to the customer service line that is listed on your insurance card.
Visit Charges, Copays and Deductibles:
Your insurance policy is a contract between you and the insurance company. We cannot change your coverage, benefits or deductible, nor can we “change the codes” so that you do not get billed for a service received.
Your visit will be coded and charged based on the services provided. The codes are part of a nationally standardized medical coding system and have clear definitions. The codes represent the level of care provided both in the room, as well as behind the scenes before and after your visit.
Your copay is defined by your insurance plan and is usually listed on your insurance card. That is the amount that you are responsible for paying at the time of check in for each visit.
Your deductible is also defined by your insurance plan. This is the amount that you are required, by your insurance plan to pay. Once your deductible has been met, you may have no out of pocket costs or you may have a coinsurance amount, meaning that you pay a portion of the bill and the insurance company pays a portion of the bill. Again, these are defined by your insurance plan, and we cannot change them.
Please be aware that copayments and any deductibles/outstanding balances are due at the time of the visit. Any copayments that are not paid at the time of the visit will be subject to a service fee of $10.
If you do not have insurance and are planning to self-pay for the visit, please notify us in advance. We will provide a Good Faith Estimate, “GFE”, for all known and expected care in writing within the established timeline, upon request or after an appointment is scheduled. Please be aware that payments for self-pay patients are due at the end of their appointment.
NO SHOW AND CANCELLATIONS
We understand life can be hectic and conflicts arise, however we do expect that you will make every effort to attend all scheduled appointments. A significant amount of time has been allotted for these appointments and we would like to offer this time to other patients if you are unable to keep your appointment time. Any missed appointment without sufficient notification is considered a “no show”. For check ups and other appointments booked in advance, we ask that you provide at least 24 hour notice for cancelling or rescheduling. In the event of patients booked same day for urgent/sick appointment times, we ask that you provide a minimum of 3 hours in advance notice of cancellation for same day booked appointments. Please be aware that no show appointments and cancellation that do not meet the sufficient notification outline above will be subject to a $50 fee.
ROUTINE VISION, HEARING EXAMS, & OTHER
Please be aware that we perform routine vision and hearing assessments during well visits, as well as rapid and molecular tests on our patients during certain sick visits. These services may or may not be covered by your particular insurance plan. You may also incur a deductible and/or coinsurance for these services. If you do not wish to receive a hearing or vision exam, please inform our staff at the beginning of your visit.
BEHAVIORAL ASSESSMENTS & DEVELOPMENTAL SCREENINGS
In accordance with standards of pediatric care and American Academy of Pediatrics guidelines, we offer early and periodic screening of behavioral and developmental health problems at all well visits. These screening questionnaires allow us to provide your child with the best possible care. Please be advised that some insurance companies may not fully cover these assessments and you may incur a co-insurance or deductible amount for these screenings. It is your right to decline these developmental screening forms at the beginning of your visit.
SPORTS PHYSICAL
A Sports Physical is a separate exam and protocol from an annual physical and is designed specifically for clearance to play sports. This visit is generally not covered by many insurance plans. We recommend that you contact your insurance company to inquire about coverage, deductibles, and out of pocket costs for sports physicals. Please anticipate that you may be billed for this visit, and it will be your financial responsibility.
MOTOR VEHICLE ACCIDENTS & WORKERS COMPENSATION CLAIMS
Please tell us if this visit or injury is due to a car accident or work injury. We will need to get the MVA or WC case info and billing info and submit the appropriate paperwork or reimbursement forms for coverage. It is the responsibility of the patient/guardian to provide us with all necessary information at the time of the visit. Generally medical insurance will not cover these injuries. You may be billed and will need to seek reimbursement from the car insurance or worker’s comp insurance company.
INSURANCE AND PAYMENTS
Responsibility for the Bill:
It is the expectation that all patients/ guarantors receiving services are financially responsible for the timely payment of all charges incurred. While the practice will file a claim(s) to the insurance company on file as a courtesy to the patient, the patient/guarantor is ultimately responsible for payments and agrees to pay the account(s).
Not all visits, services, treatments, supplies, and medications are covered by insurance. It should be understood that by accepting the visit and care, the patient/guarantor is responsible for payments of any fees not covered by insurance.
In the event parents are divorced or separated:
• The guarantor will be listed as the parent that holds the insurance, and they will receive the bills.
• The parent/guardian that brings the child to the appointment will be responsible for payment of the copayment and any outstanding balances at the time of check-in for that visit.
• We cannot and will not mediate any financial disputes between parents.
Updating your insurance:
We cannot bill your insurance company unless you provide us with your current insurance info, including a copy of the card, and keep your address and all insurance information up to date. The patient/guarantor is responsible for providing the office with current information at each visit. Failure to provide current insurance information will result in the cost of the visit becoming the patient’s responsibility.
Your insurance plan is a contract, and you are contractually obligated to pay any copayments, deductibles, or co-insurances as defined by your plan. Please be familiar with your insurance plan, including how the copays, deductibles, and co-insurances work, and if you need to use a specific lab, imaging, or specialist networks.
The office cannot tell you in advance what the exact fees for the visit will be, nor if they will be covered by your insurance. Each insurance company has multiple plans, and each employer plan is structured differently with different coverage levels. Please direct coverage questions to the customer service line that is listed on your insurance card.
Visit Charges, Copays and Deductibles:
Your insurance policy is a contract between you and the insurance company. We cannot change your coverage, benefits or deductible, nor can we “change the codes” so that you do not get billed for a service received.
Your visit will be coded and charged based on the services provided. The codes are part of a nationally standardized medical coding system and have clear definitions. The codes represent the level of care provided both in the room, as well as behind the scenes before and after your visit.
Your copay is defined by your insurance plan and is usually listed on your insurance card. That is the amount that you are responsible for paying at the time of check in for each visit.
Your deductible is also defined by your insurance plan. This is the amount that you are required, by your insurance plan to pay. Once your deductible has been met, you may have no out of pocket costs or you may have a coinsurance amount, meaning that you pay a portion of the bill and the insurance company pays a portion of the bill. Again, these are defined by your insurance plan, and we cannot change them.
Please be aware that copayments and any deductibles/outstanding balances are due at the time of the visit. Any copayments that are not paid at the time of the visit will be subject to a service fee of $10.
If you do not have insurance and are planning to self-pay for the visit, please notify us in advance. We will provide a Good Faith Estimate, “GFE”, for all known and expected care in writing within the established timeline, upon request or after an appointment is scheduled. Please be aware that payments for self-pay patients are due at the end of their appointment
NO SHOW AND CANCELLATIONS
We understand life can be hectic and conflicts arise, however we do expect that you will make every effort to attend all scheduled appointments. A significant amount of time has been allotted for these appointments and we would like to offer this time to other patients if you are unable to keep your appointment time. Any missed appointment without sufficient notification is considered a “no show”. For check ups and other appointments booked in advance, we ask that you provide at least 24 hour notice for cancelling or rescheduling. In the event of patients booked same day for urgent/sick appointment times, we ask that you provide a minimum of 3 hours in advance notice of cancellation for same day booked appointments. Please be aware that no show appointments and cancellation that do not meet the sufficient notification outline above will be subject to a $50 fee.
ROUTINE VISION, HEARING EXAMS, & OTHER
Please be aware that we perform routine vision and hearing assessments during well visits, as well as rapid and molecular tests on our patients during certain sick visits. These services may or may not be covered by your particular insurance plan. You may also incur a deductible and/or coinsurance for these services. If you do not wish to receive a hearing or vision exam, please inform our staff at the beginning of your visit.
BEHAVIORAL ASSESSMENTS & DEVELOPMENTAL SCREENINGS
In accordance with standards of pediatric care and American Academy of Pediatrics guidelines, we offer early and periodic screening of behavioral and developmental health problems at all well visits. These screening questionnaires allow us to provide your child with the best possible care. Please be advised that some insurance companies may not fully cover these assessments and you may incur a co-insurance or deductible amount for these screenings. It is your right to decline these developmental screening forms at the beginning of your visit.
SPORTS PHYSICAL
A Sports Physical is a separate exam and protocol from an annual physical and is designed specifically for clearance to play sports. This visit is generally not covered by many insurance plans. We recommend that you contact your insurance company to inquire about coverage, deductibles, and out of pocket costs for sports physicals. Please anticipate that you may be billed for this visit, and it will be your financial responsibility.
MOTOR VEHICLE ACCIDENTS & WORKERS COMPENSATION CLAIMS
Please tell us if this visit or injury is due to a car accident or work injury. We will need to get the MVA or WC case info and billing info and submit the appropriate paperwork or reimbursement forms for coverage. It is the responsibility of the patient/guardian to provide us with all necessary information at the time of the visit. Generally medical insurance will not cover these injuries. You may be billed and will need to seek reimbursement from the car insurance or worker’s comp insurance company.
INSURANCE AND PAYMENTS Responsibility for the Bill:
It is the expectation that all patients/ guarantors receiving services are financially responsible for the timely payment of all charges incurred. While the practice will file a claim(s) to the insurance company on file as a courtesy to the patient, the patient/guarantor is ultimately responsible for payments and agrees to pay the account(s).
Not all visits, services, treatments, supplies, and medications are covered by insurance. It should be understood that by accepting the visit and care, the patient/guarantor is responsible for payments of any fees not covered by insurance.
In the event parents are divorced or separated:
• The guarantor will be listed as the parent that holds the insurance, and they will receive the bills.
• The parent/guardian that brings the child to the appointment will be responsible for payment of the copayment and any outstanding balances at the time of check-in for that visit.
• We cannot and will not mediate any financial disputes between parents.
Updating your insurance:
We cannot bill your insurance company unless you provide us with your current insurance info, including a copy of the card, and keep your address and all insurance information up to date. The patient/guarantor is responsible for providing the office with current information at each visit. Failure to provide current insurance information will result in the cost of the visit becoming the patient’s responsibility.
Your insurance plan is a contract, and you are contractually obligated to pay any copayments, deductibles, or co-insurances as defined by your plan. Please be familiar with your insurance plan, including how the copays, deductibles, and co-insurances work, and if you need to use a specific lab, imaging, or specialist networks.
The office cannot tell you in advance what the exact fees for the visit will be, nor if they will be covered by your insurance. Each insurance company has multiple plans, and each employer plan is structured differently with different coverage levels. Please direct coverage questions to the customer service line that is listed on your insurance card.
Visit Charges, Copays and Deductibles:
Your insurance policy is a contract between you and the insurance company. We cannot change your coverage, benefits or deductible, nor can we “change the codes” so that you do not get billed for a service received.
Your visit will be coded and charged based on the services provided. The codes are part of a nationally standardized medical coding system and have clear definitions. The codes represent the level of care provided both in the room, as well as behind the scenes before and after your visit.
Your copay is defined by your insurance plan and is usually listed on your insurance card. That is the amount that you are responsible for paying at the time of check in for each visit.
Your deductible is also defined by your insurance plan. This is the amount that you are required, by your insurance plan to pay. Once your deductible has been met, you may have no out of pocket costs or you may have a coinsurance amount, meaning that you pay a portion of the bill and the insurance company pays a portion of the bill. Again, these are defined by your insurance plan, and we cannot change them.
Please be aware that copayments and any deductibles/outstanding balances are due at the time of the visit. Any copayments that are not paid at the time of the visit will be subject to a service fee of $10.
If you do not have insurance and are planning to self-pay for the visit, please notify us in advance. We will provide a Good Faith Estimate, “GFE”, for all known and expected care in writing within the established timeline, upon request or after an appointment is scheduled. Please be aware that payments for self-pay patients are due at the end of their appointment.
# Days to visit:
Unscheduled
=/+ 10 days
3 to 9 days
< 3 days
#Days to provide GFE :
Within 3 business days
Within 3 business days
Within 1 business day
Not required
Patient Balances & Payment Plans:
If you are in need of a payment plan, please call our office and speak with our Billing Manager to set that up within 30 days of the statement date. We are here to help and get your child the care that they need.
If your account is not paid in full or satisfactory arrangements have been within the allowable time frame, the practices reserves the right to refer the account to collections. In general, balances over 90 days will be referred to collection agency.
Laboratory Testing & Your Insurance:
Lab tests, x-rays, & other testing ordered by your physician may or may not be covered. Coverage may vary based on individual insurance plans or diagnosis. Deductibles and/or co-insurance may apply to your testing (even when ordered by your primary care physician or specialist). All tests requested by third party sources (school, daycare, work, court, other insurers, military, etc.) will not be covered by your insurer. You will be responsible for payment. Coverage will vary. Please check your subscriber certificate or consult with your insurance carrier directly to inquire about coverage details.
Most lab test are sent and processed through Lahey Hospital. Lahey is their own entity and has their own billing department. Please be aware that you may receive a separate bill from them for their services. As a rule to thumb, always check where the bill was sent from and contact the number listed on the statement if you have any questions.
Requesting Patient Records:
Copies of Medical Records are available to the patient, parent, or legal guardian, after a signed Medical Record Release form and payment is received. Please refer to our website, www.readingpediatrics.org, under the Forms tab to fill out our Record Release form electronic ally.
There is no fee for medical records requested electronically and sent to the portal If you choose to have your records printed on paper and mailed include a $25 fee per child. The fee for records printed on paper and picked up from the office are $10 per child. These records will be sent to the patient/guardian and not directly to another practice. Please note that if the patient is age 18 or over, the patient must sign the Release form themselves.
We strive to have medical records released within 5-7 business days.
Patient Balances & Payment Plans:
If you are in need of a payment plan, please call our office and speak with our Billing Manager to set that up within 30 days of the statement date. We are here to help and get your child the care that they need.
If your account is not paid in full or satisfactory arrangements have been within the allowable time frame, the practices reserves the right to refer the account to collections. In general, balances over 90 days will be referred to collection agency.
Laboratory Testing & Your Insurance:
Lab tests, x-rays, & other testing ordered by your physician may or may not be covered. Coverage may vary based on individual insurance plans or diagnosis. Deductibles and/or co-insurance may apply to your testing (even when ordered by your primary care physician or specialist). All tests requested by third party sources (school, daycare, work, court, other insurers, military, etc.) will not be covered by your insurer. You will be responsible for payment. Coverage will vary. Please check your subscriber certificate or consult with your insurance carrier directly to inquire about coverage details.
Most lab test are sent and processed through Lahey Hospital. Lahey is their own entity and has their own billing department. Please be aware that you may receive a separate bill from them for their services. As a rule to thumb, always check where the bill was sent from and contact the number listed on the statement if you have any questions.
Requesting Patient Records:
Copies of Medical Records are available to the patient, parent, or legal guardian, after a signed Medical Record Release form and payment is received. Please refer to our website, www.readingpediatrics.org, under the Forms tab to fill out our Record Release form electronic ally.
There is no fee for medical records requested electronically and sent to the portal If you choose to have your records printed on paper and mailed include a $25 fee per child. The fee for records printed on paper and picked up from the office are $10 per child. These records will be sent to the patient/guardian and not directly to another practice. Please note that if the patient is age 18 or over, the patient must sign the Release form themselves.
We strive to have medical records released within 5-7 business da
Patient Balances & Payment Plans:
If you are in need of a payment plan, please call our office and speak with our Billing Manager to set that up within 30 days of the statement date. We are here to help and get your child the care that they need.
If your account is not paid in full or satisfactory arrangements have been within the allowable time frame, the practices reserves the right to refer the account to collections. In general, balances over 90 days will be referred to collection agency.
Laboratory Testing & Your Insurance:
Lab tests, x-rays, & other testing ordered by your physician may or may not be covered. Coverage may vary based on individual insurance plans or diagnosis. Deductibles and/or co-insurance may apply to your testing (even when ordered by your primary care physician or specialist). All tests requested by third party sources (school, daycare, work, court, other insurers, military, etc.) will not be covered by your insurer. You will be responsible for payment. Coverage will vary. Please check your subscriber certificate or consult with your insurance carrier directly to inquire about coverage details.
Most lab test are sent and processed through Lahey Hospital. Lahey is their own entity and has their own billing department. Please be aware that you may receive a separate bill from them for their services. As a rule to thumb, always check where the bill was sent from and contact the number listed on the statement if you have any questions.
Requesting Patient Records:
Copies of Medical Records are available to the patient, parent, or legal guardian, after a signed Medical Record Release form and payment is received. Please refer to our website, www.readingpediatrics.org, under the Forms tab to fill out our Record Release form electronic ally.
There is no fee for medical records requested electronically and sent to the portal If you choose to have your records printed on paper and mailed include a $25 fee per child. The fee for records printed on paper and picked up from the office are $10 per child. These records will be sent to the patient/guardian and not directly to another practice. Please note that if the patient is age 18 or over, the patient must sign the Release form themselves.
We strive to have medical records released within 5-7 business days.
Patient Balances & Payment Plans:
If you are in need of a payment plan, please call our office and speak with our Billing Manager to set that up within 30 days of the statement date. We are here to help and get your child the care that they need.
If your account is not paid in full or satisfactory arrangements have been within the allowable time frame, the practices reserves the right to refer the account to collections. In general, balances over 90 days will be referred to collection agency.
Laboratory Testing & Your Insurance:
Lab tests, x-rays, & other testing ordered by your physician may or may not be covered. Coverage may vary based on individual insurance plans or diagnosis. Deductibles and/or co-insurance may apply to your testing (even when ordered by your primary care physician or specialist). All tests requested by third party sources (school, daycare, work, court, other insurers, military, etc.) will not be covered by your insurer. You will be responsible for payment. Coverage will vary. Please check your subscriber certificate or consult with your insurance carrier directly to inquire about coverage details.
Most lab test are sent and processed through Lahey Hospital. Lahey is their own entity and has their own billing department. Please be aware that you may receive a separate bill from them for their services. As a rule to thumb, always check where the bill was sent from and contact the number listed on the statement if you have any questions.
Requesting Patient Records:
Copies of Medical Records are available to the patient, parent, or legal guardian, after a signed Medical Record Release form and payment is received. Please refer to our website, www.readingpediatrics.org, under the Forms tab to fill out our Record Release form electronic ally.
The fee for medical records is $10 per patients to obtain the records via the web portal, or $25 per patient for a paper copy. These records will be sent to the patient/guardian and not directly to another practice. Please note that if the patient is age 18 or over, the patient must sign the Release form themselves.
We strive to have medical records released within 5-7 business days.