Pediatricenter of Greater Cleveland

Policies

University Primary Care Practices adheres to the policies below.  The patient / responsible party assumes the responsibility to ensure that the financial obligation is fulfilled for the health care received. We ask that you read this Policy Statement prior to seeing your doctor.

Co-Pays:  Patients with an insurance co-payment are expected to make payment when checking in for the appointment.

Forms:  There is a 3-5-day turn-around time for most forms.  If you desire to have a form filled out on the same day, there is a $15 charge.

Insurance statements:  Pediatricenter accepts most major insurances.  Please call our billing office (440-720-3519) with any questions regarding insurance coverage.  

Appointment time:  We kindly ask that you arrive to your appointment a few minutes early to allow for check-in time and any paperwork that needs to be filled out prior to your doctor seeing your child.  As we respect all of our patients and their time, we may ask you to reschedule your appointment if you are more than 15 minutes late.

Missed Appointment Policy: Failure to notify our office of an appointment cancellation may result in a $25.00 fee or dismissal from practice. 

Sunday/Holiday Fee:  There is an additional Sunday/Holiday charge assigned that may or may not be covered by your insurance carrier.  For questions regarding coverage for this service, please contact your insurance carrier directly. 

Please note there is a fee to copy and send medical records outside the University Hospitals Health System.   

Patients with high deductible ($1000 or more) plans are required to pay the following fees prior to their doctor visit: $125.00 for first new patient visit, $75.00 for each subsequent visit, $150.00 for consultations.  Patients will be refunded or billed for additional amounts as appropriate after claim(s) are processed by their insurance company.

Patients with insurance are expected to pay any personal balance that is due immediately after their insurance company(s) remit payment.  If insurance does not remit payment within 45 days, the patient is held responsible for the payment in full. If you receive an insurance payment at your home on an outstanding bill with our office, that payment must be forwarded to us immediately.

Not all services are covered benefits of all insurance plans. The patient / responsible party maintain the responsibility of verification of applicable coverage.

The patient is responsible for payment of any unpaid deductibles, co-insurance, or other known non-covered services at the time the service is provided. In the event a valid insurance card is not presented at the time of the visit, the patient will be responsible for any outstanding balance.  Uninsured patients are expected to pay in full at time of service.

Patients are requested to provide staff with sufficient notice to complete any referral forms, pre-certifications, or other forms required by your insurance company to process payment for services. Retroactive referrals will be completed for emergency care only. The patient is responsible for notifying staff of the need for a referral and will be responsible for any financial penalty incurred by failure to secure proper referral for any services.

We accept cash, personal checks, and credit cards (Visa, Mastercard, Discover, American Express). Returned checks and balances older than 45 days may be subject to additional collection fees.

We encourage you to communicate with our billing staff (440-720-3519) any temporary financial problems may affect timely payment so that we can assist you in the management of your account. Our staff will assist you with any billing questions or issues before or after today's appointment. Thank you for your understanding and cooperation with this policy. 

 
  • Mayfield Heights
  • 6001-C Landerhaven Dr.
  • Mayfield Heights, OH 44124
  • 440.720.3888 ph
  • 440.720.3882 fx

  • Hours
    Mon-Fri 8:45am-5pm
    Sat 8:45am-12pm
Mayfield Heights
Garfield Heights
Bainbridge
Broadview Heights
Twinsburg