Pediatric Skill Builders will bill your insurance or Medicaid for therapy service. However, if you or your child has any change in coverage, including:
- Change in Medicaid provider
- Loss of Medicaid coverage
- New private insurance policy
- Change in private insurance policy
- Loss of private insurance
- Any other change in your or your child’s insurance coverage
Please call our office immediately (407) 389-4357. We must be informed of any changes or it may be impossible for us to bill your insurance or Medicaid carrier. You may be billed for any charges that cannot be paid because of changes to you or your child’s coverage.
Missed Visit Policy
No more than two (2) cancellations will be allowed in any given month with the exception of extended illness, which must be substantiated by primary caregiver. Therapy cancelled more than two times in a month for reasons other than an excused illness then your child will be removed from the therapist’s schedule. Your child will be placed on a hold status. At that point, you will be required to call the office and start the process of obtaining therapy from the beginning without guarantee of getting the same therapist.
If your family goes on vacation for more than one week, please inform your therapist or office. Your child will be on hold when vacations last more than 2 weeks. Upon return from vacation, please call the office to schedule therapy with the same therapist if she is available. Otherwise, a new therapist will be assigned.
Insurance Payment Policy Agreement
As a courtesy to our patients, Pediatric Skill Builders will file therapy service claims with your primary medical insurance. However, our office policy is to expect full reimbursement from the patient or guardian within 15 days after receipt of invoice. Payments that are collected from the insurance carrier will be reimbursed in full to the policyholder, or applied as a credit to the policyholder’s account.
I agree to pay in full for services provided by Pediatric Skill Builders within 15 days of receipt of invoice and understand that any payments collected from my insurance company will be reimbursed to me in full.
By signing this document, you are stating that you have read and agree to the terms listed above.
