Understanding Your Bills & What To Expect
Healthcare billing is complicated. Although everyone is charged the same, different insurance plans may mean that patients are responsible for paying different amounts for the same service. That is why it's critical to give the right personal and insurance information to your healthcare provider. If you get follow-up questions from either your insurance plan or your health care provider, please respond as quickly as possible.
Woodcreek Pediatrics - Mary Bridge Children's will bill the insurance(s) you provide to us at check-in. All co-pays are due at the time of service. We may ask you to pay existing balances and/or a portion of your anticipated co-insurance payment at the time of service. You may receive multiple bills for services rendered associated with a single visit; a bill for services performed by 3rd party labs, specialists, imaging, etc. will be billed directly from those vendors.
Medical Insurance
To help you plan your healthcare, please review the list of accepted insurance plans below. Insurance plans change and although we do our best to keep this list as updated as possible, it is possible that your plan may not be listed. We strongly encourage you to double check with your insurance company for specific information about your plan, the coverage it provides and your choice of providers before receiving care.
Contact Our Billing Department
For questions regarding your bill, to make a payment by phone or to assist you with your billing questions, please call 253-848-8797 option 5. Our billing representatives are available Monday - Friday 8:00 am to 6:00 pm.
Woodcreek Pediatrics - Mary Bridge Children's will bill the insurance(s) you provide to us at check-in. All co-pays are due at the time of service. We may ask you to pay existing balances and/or a portion of your anticipated co-insurance payment at the time of service. You may receive multiple bills for services rendered associated with a single visit; a bill for services performed by 3rd party labs, specialists, imaging, etc. will be billed directly from those vendors.
Medical Insurance
To help you plan your healthcare, please review the list of accepted insurance plans below. Insurance plans change and although we do our best to keep this list as updated as possible, it is possible that your plan may not be listed. We strongly encourage you to double check with your insurance company for specific information about your plan, the coverage it provides and your choice of providers before receiving care.
Contact Our Billing Department
For questions regarding your bill, to make a payment by phone or to assist you with your billing questions, please call 253-848-8797 option 5. Our billing representatives are available Monday - Friday 8:00 am to 6:00 pm.
Financial Policy
Understanding Your Benefits
Please familiarize yourself with your insurance benefits and verify that the provider you are seeing is part of the preferred provider network. Your health plan mandates that you are financially responsible for payment of all copays, deductibles, and non-covered services, and Woodcreek Pediatrics - Mary Bridge Children's is contractually obligated to collect them. We do not verify insurance benefits, which is why we highly recommend that you contact your insurance company and familiarize yourself with your policy’s benefits. For a list of services and codes for well child exams, visit our website at www.woodcreekhealthcare.com.
Responsible Party
You are financially responsible for paying for services that are provided to you by our providers. If the patient is a child, the responsible party will be either biological parent or the assigned representative authorized to seek medical care for the child and is the party that brings the child in for services. Woodcreek Pediatrics - Mary Bridge Children's is not obligated to follow civil court decisions, including financial obligations for divorce decrees or parenting plans.
Understanding Our Charges
Patients will be charged for each service that is performed during the course of an office visit. Included in the base charge for an office visit is a discussion about the nature of the illness, an examination of the patient, medical decision making, development of a treatment plan and discussion with the patient about the plan. Other activities (procedures) are billed in addition to the charge for the examination. These charges could include, but may not be limited to, sutures, wart removal, vision and hearing tests, removing wax or foreign bodies from the ears or nose, lab tests, administration of immunizations, and other additional services. It is Woodcreek policy that medical staff members do not quote fees for services or supplies, but you may ask the provider or the nurse to contact the front desk or billing office to learn the exact cost of the procedure, test or lab service before it is provided.
Co-payments
Co-payments are due at the time you are checking in for your appointment.
No-Show or Late Cancellation Appointments
If you miss a scheduled appointment you may be charged a no-show fee of $35.00 or $50.00 depending on the type of appointment that was missed. If you cancel your appointment less than 24 hours in advance you may be charged a $25.00 late cancellation fee. If you fail to cancel multiple appointments, the provider may elect to withdraw as your treating physician and you will be asked to find another doctor. Please see our entire No-Show/Late Cancellation Policy below.
Account Balance
You will be asked to pay your current account balance at each visit. We will make every effort to inform you of your balance when your appointment is scheduled so that you will be prepared to make the payment prior to or at the time of your appointment.
Deductible/Coinsurance
We may ask you to make a deposit toward the patient portion of the deductible and coinsurance at each visit.
Billing Statements
Our office is contracted with many insurance carriers. If we are contracted with your insurance company, you will receive a billing statement from us after the insurance has processed your claim. This balance owed should correspond to the explanation of benefits (EOB) that you will receive from your insurance company. You will receive a statement from our office every twenty-five (25) days until the balance is either paid in full or sent to a collection agency. We offer statements by paper or e-statements that come directly to your email.
Returned Check Fee
A returned check fee of $30 will be charged to your account for all returned checks.
Payment Options
Woodcreek Pediatrics- Mary Bridge Children’s accepts checks, money orders, VISA and MasterCard. Credit card payments can be made in person, by mail, online, or over the phone by calling 253-848-8797 and following the prompts to the Billing Department.
Collections
In the event that you do not pay in full your balance your account may be sent to an outside collection agency. All balances are due and payable upon receipt of your statement. If you are unable to pay the entire amount due, please contact our patient account representatives at 253-848-8797, select option 5.
Definitions
Deductible
A deductible is the amount you pay for health care services before your health insurance begins to pay. For example, if your deductible is $1,500, you would pay 100 percent of your health care charges until the amount you have paid reaches $1,500. After that, some services you receive may be covered at 100 percent, or you may have to pay coinsurance.
Co-insurance
Co-insurance is your share of the cost of a health care service. Coinsurance is usually figured as a percentage of the total charge for the service. You are responsible for coinsurance plus any deductibles you still owe. For example, you’ve already paid out (or met) your $1,500 deductible and your coinsurance is 20 percent. For a $100 health care bill, you would pay $20 and your insurance company would pay $80.
Co-pay
A co-pay is a fixed amount you pay for a health care service this is set by insurance companies. It is paid prior to when you receive the service. The amount can vary by the type of provider or service. For example, a doctor’s office visit might have a co-pay of $30. The co-pay for an emergency room visit will usually cost more, such as $150.
Please familiarize yourself with your insurance benefits and verify that the provider you are seeing is part of the preferred provider network. Your health plan mandates that you are financially responsible for payment of all copays, deductibles, and non-covered services, and Woodcreek Pediatrics - Mary Bridge Children's is contractually obligated to collect them. We do not verify insurance benefits, which is why we highly recommend that you contact your insurance company and familiarize yourself with your policy’s benefits. For a list of services and codes for well child exams, visit our website at www.woodcreekhealthcare.com.
Responsible Party
You are financially responsible for paying for services that are provided to you by our providers. If the patient is a child, the responsible party will be either biological parent or the assigned representative authorized to seek medical care for the child and is the party that brings the child in for services. Woodcreek Pediatrics - Mary Bridge Children's is not obligated to follow civil court decisions, including financial obligations for divorce decrees or parenting plans.
Understanding Our Charges
Patients will be charged for each service that is performed during the course of an office visit. Included in the base charge for an office visit is a discussion about the nature of the illness, an examination of the patient, medical decision making, development of a treatment plan and discussion with the patient about the plan. Other activities (procedures) are billed in addition to the charge for the examination. These charges could include, but may not be limited to, sutures, wart removal, vision and hearing tests, removing wax or foreign bodies from the ears or nose, lab tests, administration of immunizations, and other additional services. It is Woodcreek policy that medical staff members do not quote fees for services or supplies, but you may ask the provider or the nurse to contact the front desk or billing office to learn the exact cost of the procedure, test or lab service before it is provided.
Co-payments
Co-payments are due at the time you are checking in for your appointment.
No-Show or Late Cancellation Appointments
If you miss a scheduled appointment you may be charged a no-show fee of $35.00 or $50.00 depending on the type of appointment that was missed. If you cancel your appointment less than 24 hours in advance you may be charged a $25.00 late cancellation fee. If you fail to cancel multiple appointments, the provider may elect to withdraw as your treating physician and you will be asked to find another doctor. Please see our entire No-Show/Late Cancellation Policy below.
Account Balance
You will be asked to pay your current account balance at each visit. We will make every effort to inform you of your balance when your appointment is scheduled so that you will be prepared to make the payment prior to or at the time of your appointment.
Deductible/Coinsurance
We may ask you to make a deposit toward the patient portion of the deductible and coinsurance at each visit.
Billing Statements
Our office is contracted with many insurance carriers. If we are contracted with your insurance company, you will receive a billing statement from us after the insurance has processed your claim. This balance owed should correspond to the explanation of benefits (EOB) that you will receive from your insurance company. You will receive a statement from our office every twenty-five (25) days until the balance is either paid in full or sent to a collection agency. We offer statements by paper or e-statements that come directly to your email.
Returned Check Fee
A returned check fee of $30 will be charged to your account for all returned checks.
Payment Options
Woodcreek Pediatrics- Mary Bridge Children’s accepts checks, money orders, VISA and MasterCard. Credit card payments can be made in person, by mail, online, or over the phone by calling 253-848-8797 and following the prompts to the Billing Department.
Collections
In the event that you do not pay in full your balance your account may be sent to an outside collection agency. All balances are due and payable upon receipt of your statement. If you are unable to pay the entire amount due, please contact our patient account representatives at 253-848-8797, select option 5.
Definitions
Deductible
A deductible is the amount you pay for health care services before your health insurance begins to pay. For example, if your deductible is $1,500, you would pay 100 percent of your health care charges until the amount you have paid reaches $1,500. After that, some services you receive may be covered at 100 percent, or you may have to pay coinsurance.
Co-insurance
Co-insurance is your share of the cost of a health care service. Coinsurance is usually figured as a percentage of the total charge for the service. You are responsible for coinsurance plus any deductibles you still owe. For example, you’ve already paid out (or met) your $1,500 deductible and your coinsurance is 20 percent. For a $100 health care bill, you would pay $20 and your insurance company would pay $80.
Co-pay
A co-pay is a fixed amount you pay for a health care service this is set by insurance companies. It is paid prior to when you receive the service. The amount can vary by the type of provider or service. For example, a doctor’s office visit might have a co-pay of $30. The co-pay for an emergency room visit will usually cost more, such as $150.
No Show/Late Cancellation Policy
It is necessary for us to make appointments to see our patients as efficiently as possible. No-Shows and late cancellations cause problems that impact our practice. When an appointment is made and it is not kept, it takes and available time slot away from another patient. No-Shows and Late Cancellations delay the delivery of health care to other patients, some who are quite ill.
A "No-Show" is missing a scheduled appointment. A "Late Cancellation" is an appointment cancelled less than 24 hours in advance.
We understand that situations such as medical emergencies occasionally arise when an appointment cannot be kept, and adequate notice is not possible. These situations will be considered on a case-by-case basis. A charge of $35.00 or $50.00 (depending on type of appointment missed) may be assessed for each no-show and a fee of $25.00 for each late cancellation of an appointment.
Please understand that insurance companies consider this charge to be entirely the patient's responsibility.
It is necessary for us to make appointments to see our patients as efficiently as possible. No-Shows and late cancellations cause problems that impact our practice. When an appointment is made and it is not kept, it takes and available time slot away from another patient. No-Shows and Late Cancellations delay the delivery of health care to other patients, some who are quite ill.
A "No-Show" is missing a scheduled appointment. A "Late Cancellation" is an appointment cancelled less than 24 hours in advance.
We understand that situations such as medical emergencies occasionally arise when an appointment cannot be kept, and adequate notice is not possible. These situations will be considered on a case-by-case basis. A charge of $35.00 or $50.00 (depending on type of appointment missed) may be assessed for each no-show and a fee of $25.00 for each late cancellation of an appointment.
Please understand that insurance companies consider this charge to be entirely the patient's responsibility.