Billing and Fees

Mia Bella Pediatrics Billing Policies

All co-payments are expected at time of service. For your convenience, Mia Bella Pediatrics accepts cash, personal checks, and Visa/MasterCard debit and credit cards. Surcharges will be assessed for returned checks or co-payments not made at time of service.

 

Our contracts with insurance companies require that we verify your current coverage and collect your co-payment at each visit. If your insurance plan requires deductibles and coinsurance, you will be asked to leave a credit card on file so we can charge the assessed patient responsibility after your payer returns the Explanation of Benefits. We do not store credit card numbers in our office, but we use a secure link to access the information when we need to process a charge. Please bring your insurance card to every appointment.

 

If you would like to contact our biller, Christine, please call 949-584-9641 or call our front office at 949-206-0001.


Fees for Non-Covered Services

The following fees will be charges for services that are not covered by insurance:

Non-Covered Service Amount
Missed Sick Child visit (if not cancelled 2 hours prior) $75
Missed Well Child visit (if not cancelled 24 hours prior) $100
Missed Teen Well visit or Mental Health/ADHD/POTS appointment (if not cancelled 24 hours prior) $125
Missed Concussion/School Evaluation appointment (if not cancelled 24 hours prior) $150
Returned check $25
School/sports/daycare/camp form (waived if presented at time of well visit) $10
“Rush” (same-day) school/camp form (waived if presented at time of well visit) $30
Transfer records out $15 per patient, $30 max per family
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