Virginia Pediatric Group requires payment at the time of service. We accept personal checks, Visa, MasterCard, and Discover cards. Patients with standard co-pay are encouraged to make their payments at the time of check-in. Other insurance, private pay, or third party liability accounts are payable at the time of service.

Appointment Scheduling, Cancellation, and No-Show Policy
Check-up visits are generally scheduled in advance. Sick appointments are made on the same day as the visit. Confirmed office appointments and same day appointments are commitments to provide service during our workday. No shows and same day cancellations will be charged $35.00 for each appointment slot. Check-up visits must be cancelled within 24 hours of the scheduled appointment time and sick visits must be cancelled within 1 hour of the scheduled appointment time to avoid the $35.00 cancellation fee. We understand there are unavoidable emergencies that may occur. Please call the office if you have any questions.

Sunday Office Visits
Office visits on Sundays will be charged a $20.00 surcharge.

Prolonged Service
Occasionally, there are multiple complex issues brought into routine appointments or sick visits. The routine office encounter is 10 to 20 minutes, depending on the nature of the service. Additional charges may be applied for prolonged visits beyond 30 minutes. Extended appointments are available for specific types of problems and should be identified when you make your appointment.

Review
Review of medical records and special reports requests may also require significant professional efforts and may be billed as appropriate.

Adoption consultations
Consultations to review the medical records of a potential adoption will be charged a fee of $115.00. Please fax or bring with you all paperwork necessary for the appointment. Our Herndon office fax is (703) 689-4869 and our Fairfax office fax is (703) 280-9350.

Behavioral consultations
Behavioral consultations in which the patient is not in the office at the time of the visit will be charged a fee of $115.00. Please fax or bring with you to the visit all necessary paperwork including reports from school and/or daycare as well as medical records related to the subject of the consultation. Our Herndon office fax is (703) 689-4869 and our Fairfax office fax is (703) 280-9350.

Phone Consultation
You may be charged for professional services for complex problems that require prolonged telephone encounters. This may include direct encounters on behavioral or other medical problems and prolonged management discussions with other providers or consultants directly involved in the care of your child or family. This also includes prescription refill requests when long distance phone calls are involved.

Ancillary Services
Our ancillary staff includes lactation specialists, developmental specialists, therapists, and educational specialists. These are independent contractors who are paid for their services. We will be happy to assist you in submitting for your reimbursement.

Labs
Some health insurance plans will not pay for lab work done in our office labs. Immediate results are available from our certified office labs and may be preferred by some families. Charges for that service will be identified as outside of your plan and direct payment is expected.

Other Insurance
We will submit your insurance claim through our business office and request that payment be forwarded to you. Please complete our patient information form and give your card to the front desk receptionist for copying so we may have access to all the information necessary to file. Policyholder name, birth date, address, and employer if you are a member of a group policy are required information. We cannot bill any insurance without a copy of your card and a copy of your driver's license for identification verification. An adolescent child coming in to the office for an appointment unaccompanied by an adult must bring his/her co-pay, insurance card and a written signed letter from the parents to be seen.

Balances After Insurance
Patient statements are sent out on the 1st of every month. Payment in full is expected within 30 days. If payment arrangements are necessary, please contact our business office at (703) 573-2432. Delinquent accounts left unpaid with no payment arrangements are turned to a collection service after 90 days. Many insurance companies will try to decrease their reimbursement by changing procedure codes or by not paying for multiple procedures. If the Explanation of Benefits from your insurance company unreasonably alters our billing codes or services, we will rely upon you for complete payment. We will assist you in appealing to your insurance company.

Professional Courtesy
There are many of our families for whom we would like to provide services at no charge. However, the office cannot absorb those costs. The office does not offer courtesy services. A "no charge" is at the discretion of the treating physician, and he or she will individually assume the cost for that visit.

Disclaimers
The policies stated here might not be in concert with the varying expectations outlined by your managed care company. We have attempted to provide comprehensive care under imposed limitations but cannot absorb the direct and indirect costs of all of our available services.

Once again, thank you for choosing our practice for your pediatric medical services. Please direct any questions regarding our policies to our clinical or administrative staff. We are happy to assist you.

If you would like to see a list which insurance companies we participate with, QuickClick insurance.

< Special Services

Software >