Billing & Insurance
Our billing department does their best to take the sting out of insurance claims.
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.
Accepted Insurance Plans
- We accept most insurances, including the following Medicaid HMOs and straight Medicaid:
- BCN Focus/Select Plan
- Blue Cross Complete
- Meridian Healthcare
- Molina
- United Healthcare Community Plan(Formerly Great Lakes Health Plan)
Excluded Insurance Plans
- We do not accept the following plans:
- HAP Henry Ford(Unless open network)
- Meridian Choice
- Meridian PPO
- Midwest Health Plan
- Priority Health St. John Network
- Total Health Care
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, Mastercard, Discover, and American Express.
Credit Card on File
Bloom Pediatrics requires 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 after all insurances have been processed, you have received a statement and a balance becomes past due.
Self-Pay Accounts
If you do not have insurance, please come prepared to pay for your visit in full upon check-out. A price list of services will be provided at check-in. We offer a 20% discount for all self-pay services paid in full on the day of the visit.
Missed Co-Pays
Bloom Pediatrics is required by our insurance contracts to collect 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. A $25 service fee will be charged in addition to your co-payment if the co-payment is not paid by the end of that business day. Multiple missed co-pays, per family, within a twelve-month period may result in dismissal from the practice.