To ensure that the billing process goes as efficiently as possible, we ask that you provide us with the most recent copy of your insurance card. You will need to present this information at registration. If you do not have your insurance information, you will be treated as a self-pay patient and will be asked to make payment in full at the time of service. We will attempt to verify that your insurance coverage is active, as well as any amounts you may owe; however, it is the responsibility of the policy holder to know their deductible, co-insurance and co-payments. We will collect the applicable deductible, co-payment or co-insurance amount at the time of service. Go to the Pre-Op Consultation page for pre-operative and surgery-related information, including what to bring, forms, and billing.
Please remember if your insurance requires either a referral or authorization for treatment, it is your responsibility to have that forwarded to our office as soon as possible. The ordering physician is responsible for requesting the authorization for test/exams. Failure to have appropriate authorization will result in either rescheduling the appointment or treating the visit/procedure as self-pay.
All Children's Hospital is contracted with a variety of insurance plans to better serve our families. Should you have any questions or concerns regarding your insurance policy and/or network status it is advised that you contact your insurance company directly.
It is always beneficial to contact your insurance company to determine what your benefit plan is, what services require prior authorization and if the provider of service is considered in-network or out-of-network with your health plan. Choosing an in-network provider may reduce the portion of the bill for which you will be responsible.
It is very common for insurance companies to ask their members to complete a Coordination of Benefits form. This is the insurers' way of verifying any and all health insurance polices that may currently cover their member(s). This form is very important, as failure to respond may result in non-payment by the insurance company, thus leaving the full balance to the responsibility of the insured. Unfortunately, this form may have a variety of names and appearances and often may be mistaken for a survey. Therefore it is very important to thoroughly read and respond to all correspondence from your insurance provider.
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