Insurance Information

Insurance

In order to best serve you, it is required that you present your health insurance card at every visit so that we may file your charges to the appropriate insurance company.   Payment of all copays, deductibles and charges for non covered services are expected upon signing in.

Managed Care Contracts

Blue Cross/Blue Shield Medcost
Health Care Savings Tricare
PHCS CCN
United Healthcare CIGNA

Medicaid / Carolina Access

All services rendered are field to NC Medicaid provided there is a current Medicaid card with Carolina Access to Blue Ridge Pediatric & Adolescent Medicine, Inc.  We cannot serve Carolina Access patients assigned to another provider's office without authorization.  If a valid Medicaid card is not furnished at the time of visit, the guarantor will be responsible for all charges.

State Health Plan

We are a Costwise provider for the State Health Plan.  Their fiscal year in July 1 - June 30.  If the required deductible has not been met for the current year, full payment is expected.  If the deductible has been met, we will accept the $15 copay.

All Other Insurance Companies

As a courtesy to our patients, we file claims for all insurance companies.  However, because Blue Ridge Pediatric & Adolescent Medicine, Inc., is not providing insurance coverage or acting as an agent of the insurance company, any disparities on claims reimbursement must be handled between the patient and the insurance company,  The patient/guarantor will be responsible for payment on the account until any problems are resolved.

ALL INSURANCE CLAIMS LEFT PENDING AFTER 60 DAYS WILL BECOME THE RESPONSIBILITY OF THE PATIENT/GUARANTOR.  WE WILL GLADLY ASSIST IN RESOLVING ANY DISPUTES REGARDING INSURANCE PAYMENT, HOWEVER IT IS UP TO YOU TO CONTACT YOUR  INSURANCE COMPANY OR HUMAN RESOURCE CONTACT REGARDING NON-PAYMENT.

Any questions regarding your account with Blue Ridge Pediatric & Adolescent Medicine should be directed to the Insurance and Billing Department.