Business Office- Payment Policy
Our primary concern is the care of your child. However, we must enforce our “Financial Policy.
FINANCIAL POLICY
Thank you for choosing Vestavia Pediatrics as a healthcare provider for your child. It is a privilege for us to participate in his/her medical care. We hope that your experience with our clinic will be a pleasant one as we work together to meet the medical needs of your child. As you know, in order to continue to provide the proper level of medical care, prompt payment of the charges for our services is essential. To help clarify our billing procedure, the Vestavia Pediatrics Financial Policy is outlined below:
- Payment is due in full at the time of services unless you are covered by one of our contracted insurance carriers. If not paid in full, a billing fee of $10.00 will be added and charges for services will be subject to interest charges being added if not paid in a timely manner. For patients with private insurance, we will provide the necessary paperwork and answer any questions you may have to enable you to file for your reimbursement.
- If you are covered by one of our contracted insurance carriers, all co-pays are due at the time of service. If co-pays are not paid at the time of service, a billing fee of $10.00 will be added. We accept cash, check, debit card, American Express, Visa, MasterCard and Discover Card.
- We will file for payment from your insurance company if you are covered by one of our contracted insurance carriers. It is your responsibility to provide us with the correct insurance information. Unpaid claims will be re-filed one time if we have not heard from the insurance carrier and, if then not paid, will become your responsibility.
- All claims that are denied by your insurance carrier will be your responsibility.
- We are sorry that we cannot accept divorce decrees as assignment of responsibility for a child’s medical bills. The parent accompanying the child will be responsible for paying any fees due at the time of service and seek reimbursement from the other parent. Unless other arrangements are made, the person who brings the child in for the initial visit and completes required patient information forms and statements will be responsible for any unpaid charges or fees.
- We realize that there are circumstances and events that make the payment at the time of service difficult or impossible. When these situations arise, we will be happy to work out a payment plan with you if you will contact our Patient Financial Advocate, Tammy Trapp, at 978-3217 or Tammy.Trapp@chsys.org.
- There is a $28.00 charge for all returned checks.
- Statements for overdue accounts are mailed monthly. Please contact the Business Office with any questions you have regarding your statement/balance. Please do not assume that your insurance company will pay the balance.
- Accounts that are more than 90 days past due will be sent to our collection agency. If this becomes necessary, your account will be terminated and you will be given 30 days to establish an account with another pediatric practice.
- It is your responsibility to notify us if at any time your insurance coverage changes.
NON-COVERED SERVICES
We deal with dozens of insurance carriers and plans and, therefore, are unable to be familiar with each plan’s coverage. It is your responsibility to be familiar with your individual plan’s coverage. If you have questions regarding coverage for specific procedures (immunizations, flu vaccine, lab tests, checkups, etc.), please contact the customer service department listed on the back of your insurance card. You are responsible for paying any fees not covered by your insurance.
REFERRAL TESTING
At Vestavia Pediatrics we are able to do most routine lab tests and x-rays onsite. However, on occasion when special lab studies are necessary the specimens will be sent to an outside reference lab and you and/or your insurance company will be billed directly from the reference lab.



