Understanding your child’s medical bill can be challenging. The CCP Billing Department is always available to help answer any questions you might have. Below is a brief breakdown that we hope will help you better understand your child’s “well visit” bill.
Think of your medical bill for any office visit like your grocery store receipt. Each service, procedure, lab and screening is billed separately just like each food item is added to your receipt at the grocery store.
During your visit the Dr. attaches a procedure code to each service they perform. These codes are given to your insurance company in order for the physician to get paid for the work that was done.
Your “well visits” have a list of services that are performed but if the Dr. has to take care of an issue outside of the scope of a “well visit” definition, for example an ear infection or developmental follow up etc, the Dr. is required to submit a procedure code 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. Whether you owe anything depends entirely on your policy with the insurance company, not by the physician. If there is an additional amount CCP will bill you after your visit. The reason you are being billed after your visit is because CCP cannot bill you until we submit the claim and receive the Explanation of Benefits from your insurance company.
Find more information on fees, services and how to pay your bill on-line under the Billing tab on our website. Also please feel free to contact our billing office for further clarification.
215-735-5600, option 3.