Our clinics are available to the entire Oklahoma City Metro community, which makes billing a difficult task. Therefore, we ask that you provide your credit card information upon arrival to our clinics. At time of service, your credit card will be swiped. Your credit card information will be used to pay for your co-pay, and/or additional payments due once your insurance company has processed your claim. Your credit card may also be used to process refunds due to you in the event of an overpayment. Any charges incurred that are not covered by insurance per your explanation of benefits (EOB) will be charged to your credit card. If your insurance company pays us in full, then your credit card will not be used. Your understanding with our policy is appreciated. Please see below (Credit Card on File Authorization) for more information. There are some cases where we will not request to have your credit card on file, including the following exceptions:
- Patients that are self pay or filing their own insurance claim who pay the visit in full at the time of service will not be required to place a credit card on ﬁle.
- Patients with ACTIVE and verified SoonerCare beneﬁts will not be required to place a credit card on ﬁle.
- Patients who have insurance but are willing to pay 100% of the visit using cash, check, or debit card at the time of service will not be required to place a credit card on ﬁle. Once the insurance claim has been filed by us, any overpayment will be refunded by check sent to the address provided.
*We accept Visa and MasterCard.
All checks will be veriﬁed at the time they are presented to ensure there are sufficient funds in your account. If there are not enough funds, another form of payment will be required before we can provide services. We do not accept post dated or temporary checks.
Returned Check Charge
A $20.00 fee will be added to your account for returned checks. After receiving one returned check for insufficient funds, you will no longer be able to pay for services by check or debit card. Any balances due will need to be paid by cash, credit card or money order. Any balance resulting from a returned check that is not resolved in a timely manner by you will be sent to the Oklahoma City District Attorney’s office for further action.
If you owe a co-pay, you will be required to pay the full co-pay amount at the time of the visit, prior to services being rendered.
If you have a previous balance, you will be required to pay your past due balance plus the charges for your current visit prior to services being rendered.
If you have a deductible plan with an insurance company contracted with Kids 1st, you will be required to pay 100% of your visit at the time of service. Kids 1st will then ﬁle the claim for the visit. Any payments received from the insurance company will be refunded to you via your credit card on ﬁle after we receive the Explanation of Beneﬁts for the payment from the insurance company.
Self Pay Patients
If you are a self pay patient, you are responsible for making full payment for care at the time services are rendered. No discounts will be provided by Kids 1st after services have been rendered.
Unverified Insurance Coverage
Our office staff will attempt to verify your insurance coverage at the time of service. If we cannot verify that you have insurance, you will be required to pay the full amount of the visit at the time of service. Once your insurance coverage is verified, any payments received from the insurance company will be refunded to you. The refund will be returned to the credit card on ﬁle after we receive the Explanation of Beneﬁts from your insurance company.
If your insurance company does not have a contract with Kids 1st, we will provide you with the information you need to file your own claim with your insurance company. It will be your responsibility to work with your insurance company to receive a reimbursement for the visit costs you incurred.
For any family where parents are separated or divorced, the parent authorizing treatment and bringing the child to be seen is responsible for payment, and payment is due when services are rendered. Even though only a co-pay may be due at the time of service, there may be other charges that the insurance company determines are your responsibility. In these cases, the parent who authorized treatment will be responsible for paying these charges.
If the divorce decree requires both parents to split the charges incurred, it is the authorizing parent’s responsibility to collect from the other parent. Kids 1st will not act as a mediator in collecting payments.
Know your insurance beneﬁts. Your insurance plan is a contract between you and your insurance company, even if your employer provides it. We provide the medical service and submit the claim on your behalf. We do our best to verify your beneﬁts prior to the appointment to make sure we collect the appropriate amount owed and to make sure your visit will be covered by your insurance plan. We do our best to notify and educate our patients of any information we gather from your insurance company that may affect the visit. However, it remains the policy holder’s responsibility to know their insurance policies. Kids 1st cannot know every detail to your speciﬁc plan. Ultimately, you are responsible for knowing what services are covered, how often, and how much of the cost is your responsibility. You will be responsible for any portion of services that your insurance does not cover. You should familiarize yourself and those bringing in your children for service with the insurance policy. This includes any speciﬁc laboratory requirements should a sample need to be submitted to the lab for analysis.
Any questions related to our billing practice can be addressed to the Office Manager directly. A signed agreement of our billing policy will be kept in your file.