Current insurance card
Any past balances due
We are contracted with the most major insurance carriers and will file with those plans as a courtesy to you. Eligibility is based on information you present and is confirmed prior to your visit. Our services are billed within 24 hours from time of the visit.
After 30 business days you are expected to pay any unpaid balances regardless of your insurance company's decision to deny coverage or to reimburse less than the allowable charge.
Patients who arrive to be seen in our office with invalid/terminated insurance, lack of proof of continuing coverage, or the wrong doctor's name on the card will only be seen if payment for the visit is received at the time of service. You may also elect to reschedule your visit.
As a courtesy, Arbor Medical Partners will file your claim to your insurance company; however, at the time of service you will be responsible for all fees that are not covered by your insurance, including co-pays, co-insurance, deductibles and non-covered services or items received. The co-pay cannot be waived by our practice, as it is a requirement placed on you by your insurance carrier.
We strive to be as accurate as possible in calculating your responsibility but, with so many variations in policies and fee schedules, we are not always exact. You may receive a statement from our office for any balance due. For your convenience, we accept cash, checks, credit cards (Visa, MasterCard, American Express and Discover), and money orders. Payments are also accepted through our patient portal. We advise you to contact your insurance company in advance to verify coverage for specific benefits such as well checks, immunizations, behavioral visits, and lab services.
** We make every attempt to keep our non-participating insurance plans list up to date however due to continuous changing insurance plans and networks they utilize we HIGHLY recommend that you check with your specific insurance plan to verify that our providers are showing as participating as we cannot guarantee coverage or be held responsible for any balances incurred if we later find out that we are not contracted with your insurance plan. Any Patient responsibility will be billed to the guarantor on file.
Your current information is critical for billing and for our office to contact you if necessary. Your insurance plan requires you to keep our office current on any changes in address, phone number or coverage.
Parents should immediately contact their insurace plan to add their newborns to avoid paying out of pocket for services. Most insurances require this be done before your child is 30 days old.
If you have chosen an Insurance plan that requires you to pay a deductible amount, prior to being covered at 100%, we will collect payment for services at the time of service if your deductible has not been satisfied. Please contact your Insurance Carrier to have full knowledge of your benefit plan.
Payments are always required at the time of service. These include applicable co-insurance, co-payments, and any outstanding account balances. Failure to pay co-payments at the time of service is a violation of your insurance contract and may be reported.
Additionally, since most patients we see are under the age of 18 years, we consider the parent/guardian who arranged for the appointment and/or accompanied the child as the responsible party and will seek payment from that party. Often times, there are court orders that delineate financial obligations for medical care between a child's parents. Arbor Medical Pediatrics is NOT a party to this court order or bound by this court order. These orders only establish responsibilities for the parents.
By signing the Credit Card Authorization Form, you understand that as soon as your EOB (Explanation of Benefits) is received by our office from your insurance plan, an email will be sent with a notice that your credit card will be charged for the balance due on your account, per your insurance contract. In the event you opt not to sign the Credit Card Authorization Form and your balance is not paid within 14 days, you will incur a $25.00 service fee for each statement that we generate that shows a balance on your account.
Change “Missed Appointments” to “Cancellation/No Show Appointments” Cancellation/No Show Appointments - If you cancel your appointment with less than a 24-hour notice or do not show for the appointment, a $50 fee will be charged to your account.
Collection Agency Policy: If your balance has not been paid to Arbor Medical Partners within 120 days, your account will be turned over to our outside collection agency. Thereafter, within 30 days, if your balance has not been paid, dismissal from Arbor Medical Partners will occur.
Arbor Medical Pediatrics will no longer accept personal or business checks. We will be accepting Visa and Mastercard only. We apologize for any incovenience this may cause you.
Fees for other records requests can be discussed with staff.
We request you cancel at least 24 hours prior to the appointment so that other patients can be scheduled in the time set aside for you. Failure to cancel will result in a $50 "no show" fee which is not a covered service and is patient responsibility. This fee also applies to appointments that are scheduled on the same day.
If the appointment is not canceled 4 or more hours prior to the scheduled appointment time the no show fee will apply. Should you fail to cancel two or more appointments, you may be discharged from the practice at the provider's discretion.
Failure to pay balances can result in the account going to an outside collection agency. Patients are usually transferred from the practice at this time as well. Please contact the billing department, and your account representative will work closely with you if you need to establish a payment plan. Any fees incurred from the collection agency may be assessed to your account.
Please call our billing department at 480-425-4899 to reach a billing representative.
Our prices are dictated by our insurance contracts and are competitive for the area. It is a violation of our contractual agreements with your insurance plans to discount or waive charges, changes diagnoses or procedure codes on charges for the purposes of coverage etc.
If you have any questions or concerns about any of this information, please feel free to contact our office.
AHCCCS Recipients - Please note that failure to disclose your AHCCCS eligibility will result in your financial responsibility for services rendered at this office.