Billing

• We accept Visa, Mastercard and Discover.
• You can make payments over the phone during office hours.
• We do not accept post-dated or temporary checks.

All patients with a co-pay are required to pay the co pay at the time of visit, prior to services rendered.

All patients with a balance are required to pay the balance plus their co pay or percentage if necessary, prior to services rendered. Patients may be dismissed from the practice for non payment of services.

All patients on an insurance plan with a deductible are required to pay 90% of their visit at the time of service until the deductible has been met. Any adjustment received from your insurance company will be reflected in the additional 10% that will be owed after receiving the Explanation of Benefits from your insurance company.

• 80/20 Plans:

All patients on an insurance plan that requires a 20% payment at the time of visit will be required to pay 20% of the visit at the time of service. Any adjustment received from your insurance company will be reflected in the additional amount that will be owed after receiving the Explanation of Benefits from your insurance company.

• 90/10 Plans:

All patients on an insurance plan that requires a 10% payment at the time of visit will be required to pay 10% of the visit at the time of service. Any adjustment received from your insurance company will be reflected in the additional amount that will be owed after receiving the Explanation of Benefits from your insurance company.

All patients that are self-pay are required to pay the full amount of the visit at the time of service.

For any family where parents are separated or divorced, the parent authorizing treatment and bringing the child to be seen is responsible to us for payment which is due when services are rendered. In the case that only a copay is due at the time of service, any charges deemed by insurance as patient responsibility are due to Avalon Park Pediatrics by the parent who authorized treatment.

If the divorce decree requires both parents to split the charges incurred, it is the authorizing parent's responsibility to collect from the other parent. Avalon Park Pediatrics will not act as a mediator in collecting our payments. If the account balance is not resolved in a timely manner, the authorizing parent's information will be submitted to our collection agency.

PLEASE NOTE:  Co-pays, Deductibles, and Balances are due at time of visit, regardless of who brings the child to the appointment. Please make the appropriate arrangements for payment prior to your child's appointment. We accept Visa, Mastercard, and Discover if you would like to call ahead and pay the amount owed, or sent a check or cash with the person bringing your child to the appointment. Also, we will not post date checks, please make the appropriate arrangements for payment prior to your child's appointment.

Any patient that does not have their new insurance card at the time of service will be required to pay 50% of the visit at the time of service and provide insurance information within 2 weeks of the visit or the charges will become personal responsibility. Once insurance information is received and benefits are verified any credit amount can be refunded upon request or kept on the account for future co-pays.

Additional paperwork and agreements may be required for certain vaccines as deemed necessary by the practice.

A $25.00 No Show Fee will be added to your account for any appointment that is not canceled 48 hours in advance.

A $25.00 Fee will be added to your account for all returned checks in additional to the amount of the check.

Once Avalon Park Pediatrics receives one returned check for insufficient funds, your account will be put on a cash and credit card only status. At that time all balances including mailed statements must be settled with cash, money order or credit card only.

During COVID-19 all telemedicine visits will be send to your insurance carrier. After COVID-19 telemedicine period expires, visits will be charged as Teledoc visits.

A telemedicine charge will be charged when pictures or advice is given over Klara. Telemedicine charges can be incurred during and after normal office hours.  All telemedicine visits will be filed with your insurance company on file. If you would prefer an appointment, please make an appointment via visibook.

A $15.00 Triage Charge will be added to all accounts for patient calls that go to the Nurse Triage after 10pm.

A $50.00 After-Hours Prescription Refill Request charge will be added to all accounts for any prescriptions approved and called in by Dr. Raley during non-operating hours.