FINANCIAL AND OFFICE POLICIES
FINANCIAL Policies
First, please make sure that our practice accepts your Insurance Plan. If you have an HMO/Managed Medicaid plan you must select Dr. Decerina Uy as your child’s PCP (Primary Care Physician) prior to being seen for your visit.
Kindly inform our receptionist if you have had a change in your insurance plan, co-pay amount, or any other changes (such as custody, change of address, etc.)
Co-payments
Please remember that your co-payments are a contractual obligation between you and your insurance carrier and is required at the time of service. A $10.00 service fee will be applied to your account for any co-payments not made by the end of the next business day. Kindly be aware of any changes regarding your insurance plan’s co-pay requirements. Some insurance companies charge an additional co-pay for certain office procedures, such as Hearing tests, Strep tests, Tympanograms, Urinalysis, Vision tests, etc.
Forms Fees
- School, Day Care and Medication forms are free of charge for standard 10 business day processing time.
- Camp and IRS forms require $25.00 fee per form to be paid in advance for standard 10 day processing time.
- Expedited requests: $25.00 fee per form is to be paid in advance for 48 hours processing time. This charge is in addition to any other standard form fees.
Late Fees
Our invoice terms are “Due upon Receipt”. If you disagree with the statement that you have received, please contact our office immediately to discuss the issue so that you may avoid any late fees. A $10.00 Late Fee will be applied to your account for any past due amount.
Missed Appointments
We kindly ask that you notify our office at least 24 hours in advance if you can not keep your appointment. In the event that our office does not receive notification, your account will be charged a “Missed Appointment” fee in the amount of $25.00 per child per missed appointment.
returned checks
There will be a service fee of $25.00 placed on your account for any checks that are returned.
Office Policies
Prescription Refills
Please allow 1 week processing of your prescription refill request. Exceptions will be considered for emergencies only.
Referrals
Your child will first need to be evaluated by Dr. Decerina Uy for the issue at hand before a referral will be issued by our office. Please keep in mind that obtaining a referral is the responsibility of the patient. Check with your insurance company if you need a referral to see a specialist. If so, you must first make your appointment with the specialist. Please contact our office with the following information in order for us to process your request:
- Specialist Name/Address/Phone and Fax number
- Specialist Insurance Carrier Provider Number
- Diagnosis Code (reason for visit)
- Appointment Date/Time
