Financial Arrangements & Medical Insurance
We are committed to providing you with the best care possible. If you have questions about coverage or charges, please first refer to our Billing and Insurance FAQ; if you cannot find an answer to your question there, please feel free to call our billing office (203.798.7661), one of our insurance specialists will be happy to assist you.
New Patient & Established Patient Registration
A New Registration Tool for Our Patients, Including the Ability to Register Before Your Visit!
Center for Pediatric Medicine is continuously looking for ways to improve our patients’ experiences. We’re therefore very excited to announce that we have just introduced new technology to improve our check-in process for our patients.
If you are a new patient and or transferring into CPM, you will be asked to provide the following information to our CPM team:
- Patients first & last name
- Contact number: Cell phone
- Submit immunization records and previous medical records to the office
For existing and new patients, you will receive a text message 1-2 days before your appointment for pre-booked appointments or a text the day for a same day appointment. Simply click on the link, answer a few identifying questions, and you’ll then be able to complete your registration from home on any mobile device, tablet, or computer. We encourage you to take advantage of this easy, convenient Pre-Visit Check-in Process for your next visit!
You will be promoted to complete your check-in process electronically. If you are having trouble completing the registration before you arrive for an office visit, you will be given a “Phreesia-Pad (and or can be completed via the patients cellular device),” which is similar to an iPad or a tablet, to complete your registration electronically. Checking in via the “Phreesia-Pad (and or can be completed via the patients cellular device)” is quick and easy, as it guides you through a step-by-step registration process. Once you have entered your information for the first time, you will not be required to do so again. At your future visits, you will only need to verify the information that you’d previously entered to ensure that its current and to make any necessary edits.
Once you’ve submitted your information, you may also pay any balance or co-pay securely on the “Phreesia-Pad (and or can be completed via the patients cellular device)” . The Phreesia-Pad does not store any information on the pad. Rather, all entered information transfers electronically to your chart in our secure Electronic Health Record (EHR).
The registration is featured in the following languages: English, Spanish & Portuguese
You are able to complete the following items below before you come into the office:
- Confirm and or cancel your appointment via text message.
a. Reminder of your appointment date, time, location & provider.
- You will be asked to check- in when you arrive at our facilities (Text “Here” to a text you will receive the same day as your appointment).
a. This will notify the medical receptionist that you have arrived. A nurse will text you when you can come into the office.
- Complete any pre-screenings (COVID-19 Questionnaires)
- Patient and Family Registration | Demographics ( Verify who you are)
- Update your insurance information
- Clinical Screening Questionnaires (Based on the type of appointment- typically at the patients wellness visit. Completed forms prior to the visit will reduce the amount of time you need to spend in the office).
- Review and sign all consent and financial forms
- Store Credit Card on-file (Optional)
- Make a payment (Pre, during an or post visit)
You can pay your Center for Pediatric Medicine bill online. This portal will grant you access to your personal health care information in a secure online network. Activate your account for tools and resources that make it easy to access and manage all of your current medical bills.
Please click here to: Make a Payment
Center for Pediatric Medicine offers financial assistance. Our Billing Department will review those accounts that are not paid in a responsible or timely manner. These accounts may be referred to an outside collection agency and could influence your credit rating. Any charges assessed by outside agencies in collecting this debt will become your responsibility. If you are having a problem keeping your account up-to-date, please contact our Billing Office at (203) 798-7661. You can make arrangements with us to set up a payment plan to keep your account current.
Unless you cancel your appointment at least 24 hours in advance, our policy is to charge for missed appointments. Please help us serve you better by keeping scheduled appointments.
Many insurance plans request that you obtain a referral before visiting a specialist, or pre-authorization for testing and x-rays. If you are in need of a referral or pre-authorization, call our Front Desk in the Danbury office at 203-790-0822 and they will be happy to assist you. We ask that you give them at least three (3) days advance notice for non-urgent requests.
Billing & Insurance FAQ
Q. If my insurance company pays for my baby’s claims for the first 30 days of life, does that mean my baby’s insurance enrollment is complete?
A. NO. Most insurance companies will pay newborn claims for the first 30 days under the parent’s policy. During this 30 day period, you must contact your employer, or your insurance company, and add your baby onto your policy.
Q. Both Mom and Dad have different insurance plans, but the baby will be enrolled in only one of them. Does the pediatrician need to have both parents’ insurance information
A. YES. Most insurance companies pay under the parent’s policy for the first 30 days, even if you decide not to enroll the child under your policy when the 30 day period has ended. During this time, the child is covered under BOTHparents’ policies, so the pediatrician will require information for both plans.
Q. If I get a bill and I know my pediatrician’s office has my insurance information, should I call the billing office? I know it takes awhile for insurance companies to process claims.
A. YES. Always call our billing office at 203-798-7661 when you get a bill that you believe your insurance should cover. Many insurance companies require you call every year to update your coordination of benefits, or they may need other information in order to process your claim. Our staff will assist you in navigating your insurance when possible. Please note that most insurance companies give up to 3 months from the date of service to correct a problem. If the billing problem is not corrected in this 3 month period, the insurer has the right to refuse payment, making the balance your responsibility.
Q. If my child has State Husky insurance and I get a bill, should I worry since the state insurance will cover 100% of my claim (except for the $10 copay for the Husky B Plan)?
A. YES. Always call our billing office when you get a bill. In many instances, the state has wrong information, such as a date of birth, or a misspelling of your name, or their records show the child is also covered under a commercial insurance that is no longer active. Our billing staff will help you identify the problem, then you can contact your case worker to correct the error in order to get the claim paid.
Q. If the front office does not ask me for a copayment at the time of my child’s visit, does that mean I don’t have a copay?
A. NO. It is not always clearly stated on your insurance card if there is a copayment due for a sick visit, well visit, or both. It is YOUR responsibility to know when a copayment is due. Please assist our front desk staff by making your copayment at the time of the office visit. Please be aware that, if you do NOT pay your copay at the time of service, we will send you the bill with an additional $10 processing fee added to your account.
Q. Can I assume that I will not incur any charges for a well visit since my insurance policy states well visits are covered?
A. NO. The physician’s examination of your child is a covered benefit. However, there are many tests, procedures, and questionnaires performed at well visits that your insurance may not cover. In many instances, insurance companies are no longer covering in full for urinalysis, hearing screen, eye tests, and blood tests. If you have separate vision coverage, or your child sees an eye specialist, please let our nurses know so we do not duplicate this service.
AETNA US HEALTHCARE
BLUE CROSS BLUE SHIELD
LOCAL 371 AMALGAMATED
MEDICAID OF CT
OXFORD HEALTH PLANS
UNITED HEALTH CARE
This list is subject to change without notice. Contact our Business Office for the most up-to-date list.