Please read the following information regarding our insurance and payment policies. If you have any questions, you can reach our billing office at (716) 362-9730 ext. 603, or call your insurance carrier.
Please bring all of your current insurance cards to your visit.
Co payments, co-insurances, and previous balances are due at the time of your visit. If your child is scheduled to have surgery, any previous balances must be paid prior to the date of surgery.
We participate with most insurance carriers. These are listed in our full financial policy. If we do not participate with your insurance, payment is due at time of service, and we will bill your insurance company as a courtesy.
We will mail a statement for any balance due once we have received payment or explanation of benefits from your insurance company. Payment is due upon receipt of this statement.
If your child is covered by a Medicaid Managed Care Program or a Child Health Plus program, please make sure you have selected a primary care physician with your insurance. Each of these contracts requires a referral to our providers, because they are specialists. Contact your primary care physician and inform them of your appointment, so they can make a referral to our office.
If you proceed with your physician’s recommendation for surgery, a pre-surgical deposit may be required. Some insurance plans have a deductible and/or co-insurance. We will estimate and discuss with you any amounts due prior to surgery, based on your insurance benefits and coverage. If you decide to cancel surgery less than 24 hours prior to surgery for a non-medical reason, there will be a $100.00 charge applied to your account.
If you are unable to pay your balance upon receipt of our statement, please call our office at 716-362-9730 ext. 603, to make payment arrangements.
There is a $5.00 fee for any form that needs to be completed by our practice. This fee must be paid prior to the forms being filled out. (example: FMLA forms)
Patient balances are due within 30 days from the date of the initial statement. A $15.00 late fee will be assessed on each patient statement generated after the first statement until the outstanding balance is paid. Please contact our billing department if you are unable to pay your balance and we can arrange a payment plan.
Click here to download a PDF of our financial policy.