Northampton Area Pediatrics, LLP
193 Locust Street 
Northampton, MA 01060
413-584-8700
413-584-1714 (fax)

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Choosing a pediatrician is an important and personal decision and we want you to feel at ease with the care you and your child will receive.

 
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Holiday Hours
2018
New Year's Day
Monday, January 1
9:00am to 5:00pm
urgent care only
 
Martin Luther King Day
Monday, January 15
9:00am to 5:00pm
urgent care only
 
Presidents' Day
Monday, February 19
9:00am to 5:00pm
urgent care only
 
Memorial Day
Monday, May 28
9:00am to 5:00pm
urgent care only
 
Independence Day
Wednesday, July 4
9:00am to 5:00pm
urgent care only
 
Labor Day
Monday, September 3
9:00am to 5:00pm
urgent care only
 
Columbus Day
Monday, October 8
9:00am to 5:00pm
urgent care only
 
Thanksgiving Day
Thursday, November 22
9:00am to 12:00pm
urgent care only
 
Christmas Eve
Monday, December 24
8:00am to 5:00pm
 
Christmas Day
Tuesday, December 25
11:00am to 2:00pm
urgent care only
 
New Year's Eve
Monday, December 31
8:00am to 5:00pm
 

Northampton Area Pediatrics, LLP
Financial Policy

Northampton Area Pediatric (NAP) is committed to providing the highest quality health care for our patients. As part of your relationship with Northampton Area Pediatrics a clear understanding of our financial policy is important so you will know what actions NAP will be undertaking on your behalf as well as what your financial responsibilities are.

Minors:  As advocates for our young patients, Northampton Area Pediatrics will not intervene in any custody disputes or financial responsibility disputes between parents or other responsible parties.   Northampton Area Pediatrics will send patient statements to the address provided as the patient’s primary residence.  NAP will not look to more than one party to fulfill financial responsibility.   Please note: Individual receiving the patient statement may not necessarily be the insurance subscriber (particularly if the insurance subscriber does not reside at the patients’ primary residence). 

18+:Once a patient turns 18 years old, the patient will be financially responsible for any and all applicable copayment, deductible, coinsurance and charges not covered by insurance for dates of service on or after his/her 18thbirthday.

Health Insurance:  Your health insurance policy is a contract between you and the insurance company. You have certain responsibilities to ensure that proper, accurate and timely submission of charges occurs. 

You are required to:
• present your insurance(s) card at every visit
• inform us as soon as possible if your insurance carrier changes and provide us with a copy (front and back) of your new card

Co-Payment:  Co-payment for services, in accordance with your insurance benefits, is expected and appreciated at the time of service. Northampton Area Pediatrics reserves the right to charge a $20.00 fee for processing of co-pays received after your visit. To avoid this surcharge, contact your pediatrician’s office within seven business days of your visit to make payment. 

Remaining Balance After Your Insurance Company has Paid: Northampton Area Pediatrics will submit a claim to your primary health insurance company for services provided. Any balance remaining following adjudication of this claim is your responsibility. This balance may include your deductible, coinsurance and all charges not covered by your insurance company including, but not limited to, services rendered at a well child visit that are unrelated to preventive medicine.  Payment for this balance is due upon receipt of your billing statement

Failure to Pay an Outstanding Balance:  Our office will make every effort to communicate with you about your account and will present reasonable options for payment. In the event a bill goes unpaid without you contacting our billing department to discuss payment options, the account will be turned over to a collection agency. 

High Deductible Health Plans (HDHP) (HSA, HRA, FSA participants):  Let us know if you are in a High Deductible Health Plan (HDHP), a Health Savings Account (HSA), a Health Reimbursement Arrangement (HRA) or a Flexible Spending Account (FSA).  HDHP plans have the effect of shifting liability from the insurer to the insured.  You should be prepared for significant out of pocket expense.  We will bill your insurance plan first.  If there is any remaining amount, we will send you a bill. Payments for these balances are due upon receipt of your billing statement.  HDHP’s are not eligible for budget plans, so please plan accordingly.

Uninsured / Self-Pay / Prompt Pay Discount:  If a patient is either uninsured or presents with an insurance plan that we do not participate with, payment will be due at the time of service.  Northampton Area Pediatrics provides a prompt pay discount to those uninsured patients who pay for services at the time of service, thereby avoiding billing and collection costs by the practice.  Prompt pay discounts are not offered to insured patients where Northampton Area Pediatrics is contractually required to accept a specific fee schedule.  However, we do everything we can to mitigate the expense of anyone who is under/uninsured.

Responsibility for Payment related to Motor Vehicle (MVA) or Worker’s Compensation (WC):  NAP will not bill any visit, related to a motor vehicle accident or worker’s compensation injury, to your medical health insurance.  It is your responsibility to provide our office with the MVA/WC information, including but not limited to Carrier, address, date of loss and claim loss number.  If you fail to provide this information, you are responsible for payment of all services provided by your pediatrician. 

After-Hours Service Charge:  Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service *(CPT code 99051).

  • Monday thru Friday 5:00 pm – 8:00 pm
  • Saturday – Sunday 9:00 am – 5:00 pm
  • Federal Holidays 9:00 am – 5:00 pm

Benefits related to this service vary by insurance company. The majority of carriers reimburse this service without patient responsibility.  If you have a High Deductible Health Plan (HDHP) that applies office visits towards deductible, your insurance may apply this additional charge toward your deductible.  This charge will not exceed $50.00, in addition to the basic service.

Telephone Calls:  We will bill according to insurance guidelines for calls to a provider. Benefits related to this service vary by insurance company. We will not bill for calls related to follow-up questions from office visits from the previous seven days, for calls that lead to an emergency visit, or for calls that lead to an office visit to your pediatrician the following business day. If your insurance company does not provide benefits for this service, it will not result in patient responsibility.

Additional Fees:  Checks returned to Northampton Area Pediatrics for “non-sufficient funds” - $20.00 

We welcome the opportunity to discuss any aspect of our financial policy.  Please ask to speak with the Billing Manager if you have any questions, comments, or concerns.  We thank you for your support and look forward to serving you in the future.

 

Questions or Comments?
We encourage you to contact us whenever you have an interest about our services.