Boulevard Center Pediatrics

For any Billing Inquiries, please contact: 

CPR Inc. at (571) 481-2455

Billing & PAYMENT POLICY

As a courtesy to our patients, our office will submit claims to your insurance company.  Information given to us by your insurance is not a guarantee of their payment and all claims submitted are subject to review by your insurance company.  Every patient’s insurance policy is different and it is not possible for our staff to know the limitations of every individual plan.  If you have any questions about your coverage, please contact your insurance company directly.  Insurance must be an active plan for the date of service with the patient added to the plan as either a dependant or subscriber and our office must be in network with the policy. All copayment/deductible information given is just an estimate, and subject to the terms and limitations of your plan at the time of service.  We will do our best to receive full payment from your insurance, but in the event they do not pay or a retraction is made by your insurance, you will be responsible for the balance.

Payment is expected at the time services are rendered.  This means we will collect your copay, deductible, or complete payment/balance on file in full at the time your child is seen in our office.  Account balances over 60 days will be subject to a collections fee and sent to a collections company for remittance.

Well Visits vs. Sick Visits

Requesting or approving treatment for an acute or chronic illness during a Well Visit will be assessed a copay or deductible per the parameters of your insurance company.  If your child is sick during their well visit, the illness will be addressed and the well visit will be rescheduled to another day. 

We accept cash, credit card (Debit, MasterCard, Visa and Discover) and online banking checks (payable to Boulevard Center Pediatrics, include your child's account number from your statement). A $50 fee will be applied for all returned checks. 

Our office requires a minimum 24 hours notice for the cancellation or rescheduling of an appointment. There is a $25 No Show Fee for all missed appointments.

   

Medicaid Billing Policy

Please note, a private/commercial insurance will always be considered a child's primary insurance over any type of Medicaid insurance per DMAS.   Failure to notify the office of any other primary insurance will cause your account to become delinquent and will be subject to an administration fee.

Effective October 1st, 2018, all Medicaid plans require you to visit your Primary Care Physician (PCP) named on your insurance.  Please ensure Dr. Gohel is listed as your child's PCP PRIOR to your appointment.  Failure to do so may result in insurance not covering the visit thus making you responsible for the bill.

Medicaid visits are for children ages 18 and under only.

* At present, we are only accepting siblings of our current patients as new patients.

Thank you for your cooperation.

Insurance Plans Accepted

 If you have an HMO, please call your insurance plan to change your child's Primary Care Provider (PCP) to Dr. Shailesh Gohel.  If you have an open access plan, please choose us as your child's PCP.  Please call for self-pay pricing.

Aetna - PPO, certain EPO, NO HMO

Anthem - PPO, POS, HMO, Federal

Blue Cross Blue Shield - PPO & All Out of State

Care First - all plans including HMO, PCMH & Health Exchange

Care First Administrators

Cigna - all plans, No Health Exchange Plans (Cigna Connect)

Coventry/Southern Health - all plans

Optima - all commercial Sentara Plans

UMR

United Healthcare - PPO only, NO HMO

    

*Please verify with your insurance company to confirm that we are in network with your insurance plan prior to scheduling your appointment.  All benefit information provided to us by your insurance company is just an estimate of in network services and subject to review and the terms and limitations of your plan.