17 hours ago Pediatric Associates of Malden Phone. 781-322-5101. Contact Us ... We regularly review our patient satisfaction surveys conducted in the office to find out what needs to be done to … >> Go To The Portal
As an independent Pediatric specialty office, we pride ourselves in developing a cooperative working relationship with parents and families as we work together to provide your child with the highest quality healthcare for his or her specific needs.
Northern Kentucky Pediatric Group was founded in 1981. It was formed by two well-known local Pediatricians, Dr. Frederick Stine (1914-2008) and Dr. Thomas Heavern (1933-1986). Their combined knowledge and love for children created the foundation and building blocks for Northern Kentucky Pediatric Group.
As a participating network provider, the provider has contracted with the managed care health plan or “Network” to provide services at a negotiated fee which is typically less than the provider’s billed charge. The negotiated fee or “Contract/Network Discount” is provided to the provider and patient, in a statement referred to as the “Explanation of Benefits”, upon processing of the insurance claim. In addition to any discount, the explanation of benefits will include payment made by the insurance company, any patient amount owed for the services such as co-pays, coinsurance, deductibles and non-covered services. It is important that patients review these statements carefully to insure claims are paid according to the patient’s benefits and plan coverage. The amount noted in the patient responsibility does not include payments already made to the provider for the services. This would mean if the amount shown in the patient responsibility was already paid to the provider, additional payment should not be due to the provider.
PAD files insurance claims for all health plans in which we participate. If PAD does not participate with your health plan, payment is due at the time services are rendered for treatment in the office and the patient must file insurance for reimbursement. As a courtesy, PAD will file insurance for hospital services, regardless of plan participation.
An itemized receipt is provided by PAD at the time of check out. Additional copies may be obtained by contacting the appropriate account representative, in our Billing Office. This receipt is required when submitting a claim to the patient’s insurance company for reimbursement. Most insurance companies require a claim form be completed and submitted to the insurance company along with the itemized receipt. Claim forms can usually be obtained from the employer or insurance company by requesting via the telephone or downloading from the insurance company’s website. The address for submitting claims can typically be found on the insurance card or in the plan benefit booklet provided by the health plan.
The amount noted in the patient responsibility does not include payments already made to the provider for the services.
The provider of service is not listed as the primary care physician “PCP” for the patient, and/or no referral was obtained or the provider is out of network. Services provided were for a pre-existing illness that is not covered by the patient’s health plan.
As a courtesy, PAD will file insurance for hospital services, regardless of plan participation. Patient amounts due for hospital services after insurance, will be billed to the patient once insurance has been processed.
AAP's latest guidance for parents on the COVID-19 Vaccine. We are working with the State of Maryland on obtaining the vaccine for our patients. Once they send us vaccines we will be sure to contact our eligible patients and let you know when available. Stay tuned!
PLEASE NOTE: The Patient Portal is for non-emergent messages only. We will return your message within 24-48 business hours. Messages sent after regular office hours, weekends, and holidays will be handled on the next business day.
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ATTN GATEWAY PEDIATRICS FAMILIES: We are hiring! After posting on some job-search sites and having multiple no-shows for interviews we are reaching out to you, our Gateway Pediatrics families to ask if you know anyone college age or above looking for an entry-level position. We need a Weigh-In Medical Assistant for Tues-Thurs Afternoons and Fridays all day. No experience necessary, we will provide hands-on training. Any interested parties may submit their information and resume here: hipaa.jotform.com/212845106430144 Thank you!