At Commonwealth Pediatrics, our goal is simple: keep the focus on your child’s care while being clear and transparent about costs.
Insurance can be complex, and we are here to support you—but we also want to ensure you understand our billing and insurance policies and your role in the process.
Understanding Your Billing and Insurance Responsibility
Most insurance plans include some level of cost-sharing. Here’s a simple breakdown:
Because every plan is different, we encourage families to contact their insurance carrier directly with questions about coverage, deductibles, co-pays, coinsurance, or wellness benefits.
Insurance & Coverage
We file claims to your insurance as a courtesy.
However:
Insurance Cards & Updates
To help us serve you well:
Accurate insurance also ensures labs, referrals, and prescriptions are processed correctly.
New & Expecting Parents
Congratulations on your growing family! Most insurance plans require that you add your newborn within 30 days of birth. We recommend contacting your employer or insurance provider as soon as possible to avoid delays or denials.
Co-Pays & Payments
Accepted payment methods are cash, check, Visa®, MasterCard®, American Express®, and Discover cards. A $35 fee applies to returned checks.
Self-Pay
If you do not have active insurance:
If insurance is not provided or verified within 30–45 days from the date of service, the visit will be processed at self-pay rates.
Laboratory Services
Many labs are completed in our office. Some lab services may need to be sent to an outside laboratory, such as LabCorp or Quest, depending on your insurance requirements. Outside laboratories bill insurance separately. You may receive a separate bill from the lab based on your insurance coverage.
Divorced or Separated Parents
The party responsible on the account is financially responsible for charges.
Co-pays and balances are expected at the time of service, regardless of which parent or guardian brings the child to the visit. Commonwealth Pediatrics is unable to manage or enforce custody agreements, divorce decrees, or financial arrangements between parents/guardians.
Billing & Statements
If a balance remains after insurance processes your claim, you will receive a statement.
We encourage you to compare your statement with your insurance Explanation of Benefits (EOB). For questions about how your insurance processed a claim, please contact your insurance carrier directly.
Our billing team is happy to help clarify questions related to your Commonwealth Pediatrics account.
Payment Support
We understand that healthcare costs can be unexpected. Payment arrangements may be available for qualifying balances. Please contact our Billing Office at (804) 320-1353 ext. 286 to discuss available options.
Collections
Balances not addressed may be sent to collections after 90 days.
Our goal is always communication and partnership first. Please contact our Billing Office at (804) 320-1353 ext. 286 if you need assistance with your account.
Our Commitment
At Commonwealth Pediatrics, we believe clear expectations create better experiences for families and team. We are here to care for your child, support your family, and help make the billing and insurance process as understandable as possible. If you have questions, we’re happy to help. Please contact our Billing Office at (804) 320-1353 ext. 286.
Expert Pediatricians. Gentle and Kid-Friendly Care. Peace Of Mind.
Ready For Quality Pediatric Care?
High-quality pediatric services are just a click away! The Commonwealth Pediatrics team is dedicated to providing families with compassionate, patient-focused care you can trust. We put our patients first, and that starts before you ever set foot in our office. If you’re a new patient ready to schedule an appointment with us, please call us at one of our conveniently located offices. If you’re a current patient wanting to schedule a well visit, please fill out our online appointment request form.
