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The information provided by The Pediatric Group, PLLC website is information of a general nature and is intended for informational purposes only. It should not be relied on for personal medical reasons and should not be relied upon as providing specific medical advice or for diagnosis or treatment. All information contained on this website is presented as is, without any warranties of any kind, express or implied.
Please note that visiting this website alone does not establish a physician-patient relationship with any physician engaged by The Pediatric Group, PLLC. You should consult your own physician for specific advice for your own personal situation.
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Insurance Plans
and PPO networks
You never have to worry about whether one particular doctor in our group might not take your insurance. When one doctor accepts an insurance plan, all doctors take that plan. Click here for a list of contracted plans.
How Insurance Filing Works: We file a claim to your insurance plan for the services rendered to your child. The insurance plan reviews the claim based on the benefits available to you through the coverage you (or your employer) have purchased. After their review is complete, they return an "Explanation of Benefits" (EOB) to us with any payment due. The EOB will tell us the following things:
- What we charged
- Which charges are covered benefits under your plan
- The allowed charge for that covered service
- How much, if any, part of the claim amount is the patient's responsibility
We adjust your account based on the information your insurance plan provides to us. If you believe your claim was processed incorrectly,the most effective thing you can do is call your insurance plan directly and ask them about the claim.
We often find that families are not aware of which medical services are considered "covered benefits" on their plan, and which are not covered. We strongly recommend that families carefully review the documents they receive from the insurance plan so you'll know what to expect financially. This is particularly true for "Well Child Visits" (also called "check-ups" or "annual physicals").
We Accept the Following Plans:
All doctors (including Drs. Scott and Sigler) are accepting new patients on ALL contracted insurance plans.
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