Pediatric Clinic Financial Policy
Julia Barriga M.D. P.A. in Tampa, FL is open 5 days a week and accepts most major insurances.
In order to serve you better, we want you to understand our financial policy.
Charges and co-pays are due in full at the time services are rendered. Payment may be made by cash, MasterCard and Visa.
If you have an annual deductible we will need to collect a retainer on the day of service, which is the full price of your visit.
If payments are not received on the Date of Service we may not treat you.
POLICY: We will bill most insurance companies for you if proper paperwork is provided to us. Co-payments are due in full at the time of service. If you have an annual deductible on your insurance that has not been met or you are responsible for co-insurance, we will need to collect a retainer on the day of service. When we receive an “explanation of benefits” from your insurance company, we will apply this amount towards your deductible/coinsurance. If the retainer collected is less than what you owe we will send you a statement for the balance. If the amount you owe is less than the retainer collected, the excess amount collected will be refunded to you. The retainer payment may be made by cash or we will securely store your credit card information and charge it when we receive an “explanation of benefits” from your insurance company.
Your agreement with your insurance carrier is a private one and we are not party to your contract. We do not routinely research why an insurance carrier has not paid or why it paid less than anticipated. If an insurance carrier has not paid within 60 days of billing, the amount due will be your responsibility, and will be payable in full by you. If your insurance carrier changes, you must notify us immediately. Please give us a call or mail your new Insurance Information. If insurance information is not provided within 30 days of office visit, you will be responsible for any visits during that time.
MOST INSURANCES REQUIRE YOU CHOOSE A PEDIATRICIAN, PLEASE NOTIFY YOUR INSURANCE THAT YOU HAVE SELECTED JULIA BARRIGA MD PA AS YOUR DOCTOR.(PLEASE DO THIS BEFORE YOUR VISIT)
STATEMENTS: If you have a balance due on your account, you will receive statements from the office. The letter you receive from your insurance carrier with explanation of benefits will show the amount that is your responsibility. This is considered as your first statement. If no payment is received within 15 days, an additional statement will be mailed. If no payment is received within 15 days, a final bill will be sent to the address on record. Postage and late charges will accrue for additional statements. If payment is not made within 2 weeks of this final notice and no payment arrangements have been made, then the account will be sent to collections. The office will charge a 45 % surcharge to amount due, if the account is sent to collections. The office will charge a fee of $ 30 for bounced/returned checks.
NON-COVERED SERVICES: Any care not paid for by your existing insurance coverage will require payment in full at the time services are provided or upon notice of insurance claim denial. Periodic preventive health services may or may not be covered under your health insurance policy or may have annual limits. However they may be required by your physician.
If your account is sent to collections due to lack of payment or not complying with payment arrangements made with the Billing Department you will be dismissed from the practice.
The adult signing this policy is responsible for full payment. It is your responsibility to arrange transfer of amount due to the grandparent/ guardian/ friend who accompanies child to the office.
Julia Barriga, M.D.,P.A will NOT honor the specific financial arrangements set forth in a Child Custody Agreement, Divorce Settlement Agreement, Divorce Decree from Judgment, or the like (the “Arrangements”).
In cases of child custody, the parent who presents their child (the “Presenting Parent”) for care and treatment is responsible for the payment of co-pays, co-insurance, and deductibles at the time of service. Upon request, Julia Barriga, M.D., P.A will provide a duplicate copy of your receipt so that the Presenting Parent or guardian can seek reimbursement where appropriate.
Thank you for your cooperation.
JULIA BARRIGA MD PA