Billing & Insurance

Please bring a copy of your insurance card to every visit. A scanned copy of the assigned account holder’s current insurance card and driver’s license is required to be kept on file and may be requested at the time of visit check-in. Please present newly issued insurance cards upon check-in at the next scheduled visit.

As a convenience to our patients, Bloom will file claims to any insurance carrier with whom we are a participating provider.

If you have an HMO insurance plan, please assign one of the physicians in our practice as your child’s primary care physician prior to your visit. Failure to do so may result in the need to reschedule the appointment. Any charges not covered due to incorrect primary care physician designation are the responsibility of the assigned account holder.

It is the responsibility of the assigned account holder to understand the benefits of the policy including but not limited to, co-pay amount, co-insurance percentage and deducible amount. We are here to assist you in any way, but every policy is different and unique.

Newborns

Please contact your insurance carrier to add your newborn to an insurance policy. Most policies require the newborn to be added to the insurance policy by one month of age in order for all services to be paid from the date of birth. Failure to do so may result in a personal balance that is the financial responsibility of the assigned account holder. The newborn is considered to be under mother’s insurance and charged the designated co-pay from date of first visit until their own insurance is active. Please contact the office as soon as the baby is active on insurance so the services can be submitted for timely filing and ensure reimbursement from time of birth.

Change of Insurance or Account Information

Please notify the office as soon as possible of any and all account changes, including co-pay amounts, insurance updates, and change of mailing address. If the account holder does not notify the office within 15 calendar days of these changes, the assigned account holder becomes responsible for any and all charges. 

Billing Inquiries

Questions about a bill should be directed to our External Billing Department, PedsOne at 1-866-371-6118.

Payment

Payment, in full is due at time of service. This includes applicable co-insurance, co-payments, and payments for services not covered or denied by the insurance company. Bloom Pediatrics accepts cash, personal check, debit cards, Visa, Master Card, Discover, and American Express. We also offer contactless payments via ApplePay.

Credit Card on File

Bloom Pediatrics recommends that a current credit card be kept on file for patient accounts. Please provide your credit card to the front office staff at your next visit to be linked to your account. We have software that securely encrypts and stores your credit card information displaying a token number in place of your credit card number. The credit card on file allows Bloom Pediatrics to run your card for any balances due after all insurances have been processed with your consent. A Bloom staff member will contact the assigned account holder with the amount prior to the card being charged.

Self-Pay Accounts

If you do not have insurance, please come prepared to pay for your visit in full upon check-out. The amount due will be an “estimate,” and may not reflect the full cost of the visit. Once the visit is processed by the billing department, any outstanding charges will be invoiced and mailed to the account holder’s mailing address. A price list of services is available upon request.

Missed Co-Pays

Our insurance contracts require collection of all co-pays at the time of service. Failure to collect co-pays puts the responsible party and Bloom Pediatrics in default of the insurance contract. Co-payments requested at the time of visit and not paid by the end of business day, are subject to a “missed co-payment processing fee” of $5.