By contracting with these companies, Greensboro Children’s Clinic, PA has agreed to file insurance for patients who participate in these plans. In order to do so, we must see your child’s insurance card at each visit and if you participate in a managed care program, one of our physicians’ names must appear on the card. If you do not have the necessary information and we are unable to verify your coverage, we must ask for payment at the time of the visit.
We collect all co-payments at the time services are rendered and file insurance on a daily basis. A monthly statement will be sent to you detailing unpaid charges. If you have questions regarding items that have not been paid by your insurance, we ask that you contact your insurance company or employer as benefits packages vary by employer.
Contracted Insurance Companies
- Aetna
- Blue Cross & Blue Shield of North Carolina Including:
- BCBS NC State Employees Health Plan
- BCBS Federal Employees Health Plan
- Cigna Healthcare
- CIGNA EXCEPTION: Greensboro Children’s Clinic, PA does NOT participate with Cigna Indemnity plans.
- MedCost PPO
- Medicaid
- AmeriHealth Caritas
- Carolina Complete
- Healthy Blue
- NC Medicaid Direct (Medicaid and NC Healthchoice)
- WellCare Medicaid
- United Healthcare Community Plan Medicaid
- United Healthcare
- UMR
- Oxford HealthPlan
- UHC EXCEPTION: Greensboro Children’s Clinic, PA does NOT participate with UHC Indemnity plans.
- Tricare
*A patient is considered established only if they have been seen by one of our physicians in the last 3 years and have not transferred out of the practice.
**Siblings include adopted, foster and legal guardianship
Please check the financial policy for the exceptions and additional insurance information.
Insurance Participation
We participate with most insurance companies and accept Medicaid. It is your responsibility to verify that we are in network with your particular carrier.
Eligibility Information
Our front desk and insurance staff will attempt to access eligibility, co-pay, co-insurance, and deductible information prior to your arrival. We will also ask to verify your insurance and scan your insurance card upon arrival to our office. If you do not have current insurance information, and we cannot verify insurance eligibility, you will be required to pay for services rendered until you provide proof of coverage. We also encourage that each family call to find out their specific benefits for their policy. It is beneficial to understand your own insurance coverage.
Non-Covered Services
It will be the responsibility of the family to know the benefits. You will be responsible for non-covered services. Some common non-covered services may be developmental screenings, vision and hearing screens.
Self-Pay
If you have insurance with which Greensboro Children’s Clinic, PA does NOT contract, your account will be considered self-pay. You must pay in full at the time of service and file your own insurance. No insurance adjustments will be made to these accounts.
Claims Filing
We will file claims for those insurances, which we are contracted, as well as secondary insurance. Once we have received payment from your insurance company, you will receive a bill for any outstanding balance. Then you will be responsible for that balance. Payment is expected within 10 days of billing statement. We accept most major credit cards, as well as cash payments.
Routine Screening Tools
The physicians of Greensboro Children’s Clinic, PA perform comprehensive well exams on their patients following the Bright Futures (American Academy of Pediatrics) recommendations. These recommendations include timing of the exams along with appropriate testing, screening and lab work. It is possible that some portion of the exam may not be covered or may be applied to a deductible by your insurance company and then would be your responsibility. While we are sensitive to costs, we believe all of these screenings are necessary to provide the best care for your children.
Examples of routine screening tools used at well visits include:
- General Screenings
- Vision, Hearing, TB screen, Lead Screen
- Developmental Screening Tools
- M-Chat: Autism screening tool (routinely done at 18 months and 2 years)
- ASQ: Provides reliable, accurate developmental and social-emotional screening for children between birth and age 6.
- Behavioral and Psychosocial Screening Tools
- EPDS: Edinburgh Postpartum Depression Screening (routinely done at 1 month, 2 months, 4 months and 6 months well exam)
- PHQ-9: Is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.