Insurance
We now text/email check-in paperwork prior to every appointment. Please complete and upload your Insurance card so that we can verify benefits prior to your appointment. Always bring your insurance card to every visit.
While we accept many insurances, it is the parents/legal guardian responsibility to check with their insurance to see that we are contracted with them. If we are contracted with your insurance we will file your claim. You are responsible for the co-pay, deductible, coinsurance and any past balances at the time of each visit. If we are not contracted with your insurance we are unable to see your child. If you are not insured or we cannot verify coverage with your insurance company that we are contracted with at the time of the visit you will be required to pay in full at the time of service.
Newborns have anywhere from 3 days to 30 days to notify the insurance when adding a baby to your policy, but sooner is better. You are required to give all insurances that birth mom is on at the time of your first visit since most insurance companies cover the baby for the first few days of life under mom's policy.
Please make sure to add your newborn to your policy within the first 30 days from birth.
If you have more than one insurance plan you are required to provide all plan information. If we are not given the correct insurance information and bills are denied due to other coverage and the claim is untimely you will be responsible for the entire balance. Please make sure to call your insurance company prior to scheduling an appointment to verify benefits and if we are contracted with your plan and that your child is effective.
COB - Coordination of Benefits is required by your insurance yearly by your insurance. Your claim may be denied for this and it is the responsibility of the policy holder to call and update or let the insurance know if you hold ay other insurance. Once these questions are answered your claim can be processed.
FOR ALL MARKETPLACE PLANS WE REQUIRE PREMIUMS TO BE UP TO DATE. If premiums show past due at the time of the visit you will be required to pay in full. Once your insurance shows active and they have paid the claim we will refund you the amount your insurance paid.
Every plan has its own specific benefits so familiarize yourself with your benefits, Below are some examples of questions to ask your Insurance:
- What is my copay or deductible (if any)
- Do I have well visit or immunization coverage and is there a max benefit
- Which hospitals, x-ray, lab facilities can I go to that are in network (This should be checked annually as benefits may change each year the policy is renewed. It is your responsibility to know your policy and benefits.)
There is a $10.00 fee for copays/balances that are not paid within 1 business day after your appointment unless payment arrangements are made.
AHCCCS Plans We Accept:
- CMDP
- Care 1st
- United Healthcare Community Plan
- Mercy Care
- Health Choice
- AZ Complete Health Care Plan
Should you have any billing questions, please call our billing office at
602-489-5830.
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