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Coral Square Pediatrics Office Policies

General Policy:

After office hours: Calls are returned promptly, by one of our Providers 7 days a week. The Providers can be reached by calling (954) 753-7870 and leaving a message on our answering machine. Please defer all non-medical questions (i.e.; billing, appointments and insurance questions) for normal office hours. We ask that you remove all call blocks from your phone to allow a return call. Caller ID is not an appropriate means to contact our Providers.

Cell phones: Please turn off your cell phone when in the exam room.

No food or drinks allowed anywhere in our office due to Osha regulations.

Billing Department calls or questions may be received between the hours of 9:00 to 5:00 Monday through Friday. Diagnosis cannot be altered for insurance purposes.

The Referral Department is available between the hour of 9:00 to 5:00 Monday through Friday. Please pick-up your referrals during those hours only. Non-emergent referrals will be processed within 5 business days.

Administrative fees: Sport, camp and School yellow/ blue forms will incur a $5.00 processing fee. Medical necessity letters may cost up to $25.00 depending on the content.

Medical Records: The preparation fee for medical records is $ 1.00 per page. A signed Medical record release is required before records can be released. All outstanding balances are expected to be paid at time of transfer. If your child is >18 years old, the request must come from them directly.


Appointments:

Please call for appointments: Office visits are scheduled by appointment only. Walk-in appointments are triaged by our nurse and scheduled accordingly.

True medical emergencies are seen promptly; this may add delays in office scheduling. Please be understanding if this situation should arise as this may cause delays in office scheduling.

Schedule your next office visit (well visits, follow-up visits etc.) before leaving the office so you may get a time that is convenient for you.

Reminder appointment calls are courtesy calls made by our staff. Please give a phone number where you may be reached during the day, 24 hrs before your visit.

Missed appointments that are not canceled with in 2 hours of your scheduled time will result in a $25.00 no show charge.


Financial Policy:

Know Your Insurance Plan: Now that you have chosen Coral Square Pediatrics as your Health care providers, you must have your child assigned to our practice. Please have your current insurance card present for every office visit. You will be asked to verify and sign the printed account information. This is your verification of insurance and consent to bill. If the insurance company that you designate is incorrect, you will be responsible for payment of the visit.

It is your responsibility to understand your benefit plan: Not all services provided by our office are covered by every plan. Any service that is not covered by your plan will be your responsibility. Your remittance is due within ten business days after receiving the bill.

Before making an annual physical appointment, check with your insurance company whether the visit will be covered as a healthy visit. Not all plans cover annual healthy physicals or physicals or hearing and vision screenings. It is your responsibility to know your insurance plan benefits. If it is not covered, you will be responsible for payment at the time of visit.

Co-pays and Deductibles are due at the time of the service. Outstanding account balances are to be collected prior to your visit. Patient balances are billed immediately on receipt of your insurance plan’s explanation of benefits.

Private Paying Patients: Payment for the office visit will be collected prior to being seen.

Divorced Parents: For services rendered to the patient, the adult accompanying the patient is responsible for payment. We will not become involved in your legal agreement.

Returned Checks will incur a $25.00 fee plus any bank fees incurred. If a second check is returned on your account, then checks will no longer be accepted as payment.

Past Due Accounts: Balances over 90 days old will be forwarded to a collection agency.


Payments:

Payment is expected at time of service for all copays and non-insured patients. We do

ask for credit card information to be kept on file, only to be used for missed payments. Checks or cash are also accepted for payment.

Divorced parents: The parent who brings the child for the office visit is responsible for any co-payment and / or deductible payments at the time of service. Receipts will be provided upon request. Legal agreements are not our concern.

Patients are encouraged to see all the Providers at least once. This allows the providers and the patients to get to know one another.

Pharmacy telephone numbers: Please have your pharmacy number available to our staff when a prescription may be needed (at all times). We do not keep numbers on file.


954-753-7870

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