Hatch Pediatrics follows billing guidelines, set by the federal government, for the care we provide. We are bound by our agreements with insurance companies to follow these rules precisely. Each provider is trained in the rules and carefully considers billing prior to submission.
If your child is seen for a well child check up, and there is a significant additional medical diagnosis such as an ear infection, asthma, developmental delay, ADHD, eczema, sleep problems, etc, then your provider will bill for both the well care and for the care of the additional problem. The care is provided on the same day, but is considered distinct by the insurance companies. Due to this, you may be charged a co-pay or deductible on the visit, even if you are not required to pay a co-pay for a well child check-up.
Also, if your child has to return to the office at a later date for an immunization, either because they are unwell at the time of their well child check up, or because you defer getting immunizations on that day for another reason, they will be seen by a provider for the follow-up visit. This is always our policy as only a provider (MD or NP) can determine what they are due to get and give you information on what to expect and when the next immunizations should occur. This means that immunization follow-up visits will incur a physician charge and may require co-pay or deductible.
If you have questions about your bill, we are always happy to answer them.