Billing Office
952-230-9740
7:30am – 5:00pm Monday – Friday

A team of Billing Specialists is dedicated to help answer your billing questions. It is greatly appreciated if you pay your copays and deductibles at the time of service and any patient statement received in the mail within 30 days. If you need additional assistance, please ask for the Billing Supervisor.

Every insurance plan is different. If you disagree with how your insurance paid on the account, please contact them prior to contacting our office.

Appointment Cancellation Policy — Effective 11/1/2009

We strive to see all patients who pre-schedule appointments with us and to stay on-time unless another patient's medical situation delays us. We will try to keep you informed if this occurs. We have experienced a significant increase in "failed" appointments in which we did not receive any notice or insufficient notice. Without this notice period, we are unable to fill the appointment with another waiting family/patient. We know things can come up in your schedule to change your appointment. Please give us 24 hour notice of a change. We are happy to reschedule your appointment. Be advised that you will incur a self-pay $50.00 charge if we do not receive this notice. Thank you for helping us to remain accessible to you and others!

Please read before your appointment

1. Late cancel fee - Please call us, at least 24 hours in advance, if you need to cancel an appointment. For appointments cancelled with less than a 24 hour notice, or for not showing up for an appointment, a $50 fee will be charged. We start taking calls at 7:00am Monday – Friday, 8:30am Saturday & 12:00pm on Sunday
2. Arriving on time - We ask that you arrive 10-15 min before your scheduled time so that thorough check-in, updates, and measurements can be done before your scheduled time with your Provider. Events may cause you to be late, but late patients may be asked to reschedule.
3. Well child visits - If other medical services are addressed at your well child visit, you may be charged for a separate office visit and copay. That additional service may be applied to a deductible, as determined by your insurance plan. Examples: some ear infections, ADHD, asthma, injury, etc. These topics are not in the scope of a well child visit.
4. Procedures - If a procedure is performed at your office visit, there will be a separate charge for that procedure. This charge may be applied to a deductible. Examples: ear wax removal, wart removal, nebulizer treatments, foreign body (object) removal, antibiotic injections, splinting/casting, some x-ray interpretations, Quest Diagnostic lab tests performed, etc.
5. Hearing & Vision exams - These screenings are recommended at all annual well visits. Please check with the benefit department at your insurance company to make sure these screenings are covered. Some insurance companies put an age cap on well child visits, hearing screenings, and/or vision screenings.
6. Telephone charges - Some telephone calls with your Provider are billed a small charge. In these cases, it is appropriate to speak with a Provider over the telephone, in lieu of coming in for an office visit. There is no charge to speak with our Triage Nurses.
7. Co-pays, Coinsurance and deductibles: Copays are due at the time of service. Contact your insurance company to understand your coinsurance and deductible responsibilities. Please pay these promptly upon receipt of a statement from our billing dept. Payment plans - We want to work with you. Call our billing dept at 952-230-9740 to ask questions or start a payment plan. Please do not ignore statements for medical services that you have received.
8. Follow-up appointments: Our clinic follows national guidelines for recommended follow-up intervals for certain conditions or medications such as ADHD & asthma. The follow up visits are recommended so we can ensure the safety & health of your child. Even if your child is doing well and/or is stable on the medication, we are responsible for regularly assessing improvement, status, and risks.
9. Parents of Newborns - The hospital follow-up visit at 3-5 days of age is not a well child exam. The newborn visit is recommended to monitor weight loss, feeding & potential jaundice. Please check with the benefit department of your insurance company to understand your coverage.

If you have other adults that take part in the care of your child, please share this information with them.

Important Information About Your Physical Exam or Preventative Visit

If topics outside the scope of a well visit are addressed today, or services performed, you could be charged for a separate office visit and possibly a co-payment for these additional services. These are determined by your insurance.

We encourage you to discuss all concerns with your Provider, but well visits cover only certain topics so we feel it is important to know what you may be charged. We have two options when the discussion starts falling outside the scope of the well visit; cover all concerns for efficiency of time and incur an additional charge, or schedule a separate appointment for the additional concerns.

If you are concerned about any additional charge please speak with your Provider at the beginning of your appointment today.

Some examples of topics that are part of the scope of a well visit – anticipatory guidance:

• BMI
• Daycare/School/Social
• Development
• Nutrition
• Parenting
• Physical exam
• Routine lab work
• Sleep
• Vaccines
• Safety

Some examples of topics that fall outside of the charge for a well visit and may incur additional charges:

• Abnormal periods
• ADHS
• Allergies
• Asthma
• Bedwetting
• Birth Control
• Chronic injuries
• International travel consults
• Obesity
• Sibling visits
• Simple illnesses (ear or sinus infections, etc)
• Sliver or foreign object removal
• Wart removal
• X-Rays

Common Questions/Concerns

How Much Do I Really Owe?
You are responsible for the amount listed in the box PATIENT BALANCE.

Deductible
This is the yearly dollar amount that you are responsible for based on the type of coverage you or your employer have selected. It is due at the time of service or within 30 days of receipt of a patient statement.

Co-Pay
This is the dollar amount contracted between you and your insurance carrier. It is due at the time of service.

Co-Insurance
This is a percentage of the insurance benefits that you are responsible to pay.

Adjustment
This is a contractual agreement that has been made between our practice and your insurance company.

Insurance Coverage of our Services

Wayzata Children's Clinic tries to belong to as many insurance plans as possible so we can see your children. There are many unique and new plans that are changing frequently. It is always best for you to contact your Employer or their Human Resources Department or call the number on the back of your insurance card, before your visit, for the most current information about your individual plan, to see if we are in your network, or to see if a particular service is covered.

Some plans require that you designate a Primary Care Clinic. To obtain coverage, Wayzata Children's Clinic must be selected. Our Referral Coordinators in Minnetonka can help guide you. They are available at our main number, 952-473-0211.

Administrative Assistance

If you need additional assistance for any of the above services or for other concerns, please ask for the Clinic Operations Manager at 952-259-3151.