Insurance and Payment

Our Financial Policy at Parker Pediatrics

Parker Pediatrics and Adolescents, P.C. (PPA) wants to be sure that you understand our responsibility to you and your insurance company, as well as your financial responsibility to us. Please read this carefully and ask further questions if needed.

We participate with the following insurance plans with any exclusions or additional information noted:

Notice to Policy Holders: Any “Pathways” or “HMO” plans must list a Parker Pediatrics MD as the primary care provider – Dr Brian Stanga / Dr Lauren Finney. Patients are still free to see any provider in our office. This is for insurance billing purposes only.

Most plans, but NOT the following:

  • Connect
  • Surefit

Disclaimer – Policy holders are advised that any plan that is underwritten by “Freedom Life” does NOT include coverage for well visits or vaccines.

Depending upon the policy requirement for a primary care manager (PCM), this should be either Dr Brian Stanga or Dr Lauren Finney. Patients are still free to see any provider in our office. This is for insurance billing and referral purposes only.

The following plans must list a Parker Pediatrics MD as the primary care provider (Dr Brian Stanga / Dr Lauren Finney). Patients are still free to see any provider in our office. This is for insurance billing purposes only:

  • United Navigate
  • HMO
  • Rocky Mountain Health Plan

Disclaimer – Policy holders are advised that any plan that is underwritten by “Freedom Life” does NOT include coverage for well visits or vaccines.

If you are not a member of one of our contracted plans, we will be happy to see you under a fee-for service agreement. Payment is expected to be paid at the time of service and you will receive a copy of the fee slip to submit to your plan. We offer a discount for anyone who pays for their visit in full at the time of service.

It is your responsibility to understand your particular plan, as well as any health savings plans you may have in effect. According to your insurance plan, you are responsible for any copays, deductibles, coinsurance or non-covered services. Copays are due at the time of your visit.

Autopay Policy

A convenient method for our patients and parents to pay telehealth copays, as well as balances on accounts. We will continue to bill your insurance plans, but once the claim has been processed, we will automatically charge your credit/debit/HSA card on file for any balance due:

  • up to $200 per month for medical services
  • up to $300 per month for mental health/psychology services

Copays will still be collected in office at the time of service. Telehealth copays will be run typically the next business day.

Your information will be secure, as we will run your card to an encrypted merchant service vault via a third-party provider (same services used with many other businesses you may use, such as Amazon, airlines, hotels, etc.). We will only have access to the last four digits on the card.

Please be assured that if there are financial difficulties which preclude you from settling your account, we are more than happy to work with you, but you must communicate this to us and make a plan with our Business Office. Also be aware, that unless you have a credit card on file, the adult who accompanies the patient or the unaccompanied adolescent will be responsible for copayments.

Cancellation Policy

Well visit/annual exam and asthma appointments require a 24-hour cancellation notice, and all psychology appointments require a 48-hour notice. Late cancellation/no show fees respectively range from $65.00 to $85.00. Under certain circumstances, patients may be discharged from our practice in lieu of this fee.

Collections

If there are financial difficulties, we will work with you to allow uninterrupted care for your child(ren). If, however, you fail to respond to your financial obligation either by payment or arrangements with our Business Office, we will need to enforce our collection policy. This could involve your account being turned over to our collection agency, collection fees assessed, and dismissal from our practice.