Policies & Billing

Co-Payments
Many insurances require a co-pay at the time of service. If you do not pay your co-pay at the time of service, your account will be charged an additional $10.00.

Please Bring Your Insurance Card
We will submit a claim to all primary and secondary insurances. Please remember to bring your current insurance cards to your appointment. Once your insurance company has processed your claim, we will bill you for the remaining balance that you are responsible for, as determined by your insurance plan, such as deductables and co-insurances. Payments are expected upon receipt of your statement. We accept Visa, MasterCard, Discover, American Express, Cash, Checks, Debit Cards and Money Orders.

If You Are Uninsured
If you are uninsured, or if we are unable to verify coverage, we require a $100.00 payment at your first visit which will be applied to your charges. If charges exceed the $100.00 we will send you a statement.

Unpaid Accounts
We assign all unpaid accounts to an outside collection agency that reports to a national credit bureau. They will add additional penalties and interest to the unpaid amount.

Following Guidelines
Physicians must follow accepted national guidelines when determining what your charges (level of service) will be. They must code your visit based upon what services were provided and cannot take into account particular health plan benefit designs. Consequently we are unable to switch the visit reason and diagnosis in order for a claim to be covered by your insurance. If you think there is an error on your account, please contact the billing office immediately. We will review your concern with the physician and let you know the outcome.

Newborns
You should contact your insurance company as soon as possible after your child has been born. Most health plans allow 30 days to add your newborn to your insurance plan. If you have coverage through OMAP, you MUST contact your caseworker immediately. Your caseworker will provide you with a temporary identification card. If you are unable to provide proof of insurance after your baby’s two-week appointment, we will charge you in full for services rendered.

Appointment Policies
· If you are unable to keep your appointment, please call at least 24 hours in advance to cancel.
· Patient visits at Pediatric Associates of Malden are by appointment only. Every sibling will need to have an appointment in order to be seen by the doctor.
· Please bring your current insurance card to every appointment, and alert the receptionist of any changes when checking in for your appointment.

· Insurance co-payments are due at the time of the visit.



Call today for your next Appointment 781-322-5101