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We recognize that medical billing is often difficult to navigate and understanding your child’s medical bill can be challenging. Our Billing Department is always available to help answer any questions you might have.
Think of your medical bill as a grocery store receipt. Each service, procedure, lab and screening is billed separately – just like each food item is itemized at the market. During your visit, the doctor attaches a procedure code to each service they perform. These codes are passed to your insurance company as a record of care you’ve received.
Your “well visits” have a routine list of services that your doctor will perform. If your “well visit” also includes an issue outside of the scope of these usual services – for example an ear infection or a developmental follow-up – the doctor is required to submit additional procedure codes to the insurance company for billing.
Many, if not most, insurance plans require the subscriber to pay for a portion of any services that are not part of the “well visit.” Your insurance company determines this amount. What you owe depends entirely on your policy with the insurance company, it is not an amount established by your physician.
After your insurance company reviews your claim, they will forward us an explanation of benefits (EOB). This will indicate if there is an additional amount owed by you for your visit. In this case, Center City Pediatrics will bill you directly. Understand that there may be a delay between the time of your visit and the receipt of this bill. This is to allow time for your insurance to provide us with the EOB, which allows us to bill you more accurately.