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All Star Pediatrics Release of Medical Information
Financial Matters ~ All Star Pediatrics

We thank you for choosing All Star Pediatrics as your pediatric medical home. All Star is committed to providing the best possible medical care for your children. The following information explains your financial responsibilities related to payment for our services.



For Patients with Medical Insurance Benefits:
We participate with most major health plans, PPOs, and with certain Medicaid plans. Our office will submit claims for any services rendered to a child who is a member of one of these plans, and will help you in any reasonable way to get your claims processed. It is your responsibility to give us all of the patient’s insurance information before leaving the office. If the patient has a secondary insurance, we will file a claim with them as soon as the primary insurer has processed the claim. Your insurance company may need information directly from you before they will consider the claim. It is your responsibility to respond to insurer requests.

Please bring your child’s insurance card to each and every appointment.

If you are insured by a plan we do business with, but we cannot verify that coverage, you may be asked to sign a waiver acknowledging that you are responsible for payment of our services if your insurance was not active. In certain situations, such as when active insurance cannot be verified, or when a patient is covered by an insurance plan with which we do not participate, you may be asked to provide self-payment at the time of service.



Some of the Insurance Plans we Accept:
Aetna, Aetna Better Health, Blue Cross Blue Shield, Cigna, Keystone Health Plan East, Keystone First, MultiPlan, Personal Choice, United Healthcare, United Community Plan…
Call our Billing Department if you need more specific information at 610-363-1330 ext. 221.



Appointment No-Shows:
A patient who fails to arrive for a scheduled appointment without cancelling the appointment at least 24 hours prior to the scheduled time is considered a “no-show”. No-shows disrupt the Practice’s ability to schedule care appropriately for our patients. A no-show patient may be charged $25.00, as set by the Practice, for failure to show. Repeated failure to show for scheduled appointments will be addressed by the Office Manager.
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Late Arrivals:
A patient who arrives more than 15 minutes after his/her appointment is considered a late arrival. A late arrival may be registered and worked into the schedule, if possible. However, arriving 15 or more minutes past the scheduled appointment time may result in the Practice having to reschedule the appointment for another day.
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Co-Payments:
Your insurance company requires us to collect co-payments at the time of service. Waiver of co-payments may be considered fraud under state and federal law. Please help us by paying your co-payment at each visit. For your convenience we accept cash, checks, Visa, MasterCard and Discover. If you do not have your co-payment, a late co-payment fee of $10.00 may apply as the Practice will have to use time and resources to collect from you after the date of service.

Also, you may have coinsurance and/or deductible amounts required by your insurance carrier. Any outstanding balance on your account, after adjusting for all of your insurance's responsibilities, will be billed to you.

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Paying on the Patient Portal:
Secure online payments may be made through our Patient Portal. The helpful handout (link below) shows you how. We accept Mastercard, Visa or Discover via the portal. The portal will create a printable receipt for your records. After payment, your balance will still appear until posted by All Star billing staff – which typically occurs during next business day.

If your child is a United Healthcare insured, you may make online payment to All Star via United’s secure online bill-pay feature, “myClaims Manager.” This may be found on myuhc.com, United’s plan participant portal.


Printable instructions for using our Patient Portal.

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Waiver of Patient Responsibility:
It is the policy of the practice to treat all patients in an equitable way regarding account balances. The practice will not waive, fail to collect, or discount co-payments, co-insurance, deductibles, or other patient financial responsibility in accordance with state and federal law, as well as our agreements with payers. Full or partial financial responsibility may only be waived in accordance with the practice's policy for financial hardship.

If you are experiencing financial hardship, please contact the Patient Accounts coordinator in our Billing Office at 610.363.1330 ext. 214.
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Non-Covered and Out of Network Services:
Depending on our agreement with your insurance company, medical services that are considered by your insurance company to be non-covered, out of network, or not medically necessary, may be your responsibility. If you question why your insurance company fails to pay for our service, we encourage you to contact your insurer.
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Insurance Coverage Changes:
If your insurance changes, please notify us before your next visit so we may avoid delays when you next visit the office. You may call the office or fax updated information to us at FAX 610-524-8574 with subject “New Insurance.” Remember to give us the start date for the new insurance, and the subscriber’s name, the insurer and ID. A card copy (front and back) is appreciated.
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For Our Patients Without Medical Insurance:
If you do not have group or individual medical insurance, payment for our services is expected at the time of your visit. Please know that we do offer discounted fees for patients without health insurance. Call our office if you would like specific information. Our Patient Accounts coordinator may be reached at 610-363-1330 ext. 214.
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Payment Plan:
Please let us know if you are having difficulty paying your account, we may be able to help you by setting up a payment plan based on your financial hardship, call our Patient Accounts coordinator at 610.363.1330 x214 for assistance.
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Non-Payment:
All patient balances that remain delinquent after 90 days, with no response to our requests for payment, and no effort to contact our Patient Accounts coordinator to start a Payment Plan, may be referred to a collection agency.
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Thank you for reviewing our financial topics. Please let us know if you have any questions or concerns by calling the Billing department at 610-363-1330 ext. 507!


Appointment No-Shows


Late Arrivals


Co-Payments


Paying on the Patient Portal


Waiver of Patient Responsibility


Non-Covered and Out of Network Services


Insurance Coverage Changes


For Our Patients Without Medical Insurance


Payment Plan


Nonpayment

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