INSURANCE INFORMATIONFees and Insurance
2011 Admin Fees New vaccine administration codes for children
and adolescents The American Academy of Pediatrics has announced new vaccine administration codes for children and adolescents through age 18 beginning January 1, 2011. These codes will be used whenever a doctor, nurse practitioner, or registered nurse answers questions or gives information and advice about a vaccine. The Academy understands that parents have questions and concerns regarding vaccines given to adolescents as well as younger children. For this reason they have developed new procedure codes to extend counseling to patients through age 18. These codes will take into consideration each disease we are vaccinating against (a component) and will look different from the vaccine administration codes that we currently use. Some vaccines will have only 1 administration code for a single vaccine, while combination vaccines will have multiple administration codes. The charge for the administration codes are tentatively set at $30
dollars for the first component of a vaccine and $16 for each subsequent
component. These charges may be subject to change. Please call your customer service department for your insurance carrier to see if East Cobb Pediatrics & Adolescent Medicine is listed. We will gladly file insurance Claims with your insurance company if we are contracted with your carrier. We request payments for all co-pays, deductibles and any other services not paid by your insurance company at the time of the service. We accept cash, personal check or credit card. The person who brings in the child/children is responsible for the payment for all services rendered.It is imperative that you fully understand your health insurance coverage because every policy differs. Please bring the insurance card for your child/children each time you come to the office. It is the parents’ responsibility to make sure that a referral is obtained from our referral coordinator if your insurance plan requires it. Please alert your provider if your plan requires a referral for a specialized physician or service. Most insurance plans require notification at least 72 hours prior to your appointment. After you see your provider and receive a recommendation for a specialist, please make sure the specialist is on your insurance plan. Once you have determined that the specialist is on your insurance plan and the appointment is made with the specialist, call the referral coordinator at the location you visited to get a referral. All medical records are retained at our office for three years from the date of the last visit. It is your responsibility to request these records within this time period if you desire to have these records for future references. A nominal fee is charged to cover the cost of personnel hired to copy and mail the medical records. Requests for medical records must be in writing and made at least 5 working days prior to the mail out of these records. Due to confidentiality, medical records will not be faxed. Insurance Plan Participation Our goal is to participate in as many of the most popular and common managed care and insurance plans as reasonably possible. Therefore, our participation in plans are regularly undergoing review and changes. We recommend that you contact our practice or your insurance company to verify our practice's participation in your insurance plan.
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