Billing & Insurance
Our billing team does their best to make insurance claims as painless as possible.
Our billing team does their best to make insurance claims as painless as possible.
Our billing team does their best to make insurance claims as painless as possible.
We bill participating insurance companies for you, including secondary insurance.
Please bring your child’s current insurance card with you to each visit. This helps ensure that the proper information is processed, and the appropriate insurance is billed for that day’s visit.
Depending on your insurance policy, a copayment and/or deductible may be required at the time of service. Payment may be made in cash, in-state personal check, Visa, Mastercard, Discover, American Express, or Apple Pay.
A service fee of $10 will be charged if we do not receive your co-payment within 5 days of the visit. If we have not received payment from your insurance company within 45 days of the date of service, you will be expected to pay the balance in full.
Medication cost is a challenging reality for many, and medication coverage often changes. If a recommended treatment is too expensive and/or not covered, call our office and we can check whether there are suitable treatment alternatives.
If your insurance plan or carrier changes, it is your responsibility to notify our office. If our office is not notified of insurance changes within 30 days of filing a claim, the account holder will be held responsible for the charge.
Claims denied by insurance companies will be billed to the responsible party.
There are a few insurance companies with whom we do not participate. For these companies, full payment from you is expected at the time of service. Your time of service receipt includes all information necessary for submitting claims to your insurance company.
To ensure you maximize the benefits provided by your insurance company, we suggest you take the following steps:
Essex Pediatrics works with industry-leader Payment Pros to enable our patients to safely and securely pay their bill online through our website or through your patient portal.
In addition to paying your Essex Pediatrics statements online, you have the option of registering for an account. This provides:
Essex Pediatrics is dedicated to providing you with the best possible care and service. Your clear understanding of your financial responsibilities as an essential element of your children’s care.
Unless other arrangements have been made in advance by either you or your health coverage provider, full payment is due at the time of service.
We understand there are times when extenuating circumstances cause financial hardship. If this occurs, please contact our billing office to discuss a payment plan.
89 Main Street
Essex Junction, VT 05452
We are located in the Brickyard Professional Center.
Phone
(802) 879-6556
Fax (802) 872-8021
POISON CONTROL HOTLINE
1 (800) 222-1222
A provider is on call 24/7 for urgent questions or concerns. If your child’s illness or injury is life-threatening, call 911.
Office phones open at 9:00 am, 7 days a week except for Christmas and Thanksgiving. This includes routine questions, same day scheduling, refills, and other services.
Standard office visits are scheduled Monday-Friday from 9:00 am to 5:00 pm, but a provider will be in the office every day for additional hours.
For urgent visits, appointments may be scheduled after 5:00 pm Monday-Friday, and after 9:00 am on Saturday and Sunday. The office will close at different times based on patient volume, call early to make sure you get an appointment.
We require an appointment for your child to be seen. To schedule a sick visit, please call early in the day and ask to speak with a nurse. This will help us to see your child during office hours and before pharmacies close.
A provider is on call 24/7 for urgent questions or concerns. If your child’s illness or injury is life-threatening, call 911.
Office phones open at 9:00 am, 7 days a week except for Christmas and Thanksgiving. This includes routine questions, same day scheduling, refills, and other services.
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