Our Care Coordinators will check with your insurance carrier to verify the insurance policy we have on file for your child is active. If we are unable to verify your child's insurance coverage, we will call you to obtain updated information. It is very important that we have this information before your child's visit.Why? Because we want to save you time plus we want to be sure you're getting the most from your insurance plan. If we are unable to verify coverage, payment for services provided will be due at the time of your visit.
We will send an appointment reminder to you via text, phone, or email, based on your preferences. (If you haven't let us know how you like to receive reminders, please let us know.)
Before you arrive, your provider and his/her support team will review your child's chart to plan for your visit. We'll note needed immunizations, screens, and assessments, as well as review any reports (eg lab results, specialist visits, emergency room visits, etc) we may have received since your last visit.
Your appointment day is here - and we are glad to see you! Our Care Coordinators will update demographic information, collect forms and co-pays, and get you checked into our computer system. We verify your contact info every visit to make sure we can get in touch with you if we need to — you might be surprised how often phone numbers and email addresses change — and we will also ask to see your insurance card.
While you’re waiting in our reception area, our Providers, nurses, and medical assistants are caring for other patients and preparing the exam room for your visit. Because we have multiple Providers seeing patients at one time, you may not be called back into an exam room in the order that you arrived or were checked in. If someone goes back before you, they’re probably seeing a different Provider who’s running on a different schedule. We make every effort to run on time - we recognize your time is valuable too - but we can’t predict when a patient will need more time due to a significant problem or when an emergency will arise. We will let you know when we are running behind schedule, but please feel free to ask for an update if it seems like you’ve been waiting for a long time.
Once your child is brought back to the Exam Room, one of our MAs will get a complete set of vital signs (height, weight, temperature, and blood pressure), need info
Once all of your information has been gathered, the MA will leave the exam room and let your Provider know you’re ready to be seen.
Now it’s your turn! Once your Provider reviews the history and asks if you have any other questions or concerns, they begin their exam. After the exam, your child may need immunizations, testing, or treatments in the office. If that’s the case, your Provider alerts your MA, who will prepare — and then deliver — whatever you need to complete your appointment.
When your well child exam is complete, you head back to the front office to check out. This is the perfect time to make your next appointment, pick up any forms you need to have completed, and any prescriptions or referrals that have been printed for you. This is also the time to pay your copay and any personal balance you may owe.
Once you walk out the door, we still haven’t completed your visit; a few important things are happening inside our offices. First, your Provider completes the Office Encounter by putting all the notes and documentation into your chart. When the visit notes are complete, you can see a summary of them in your Patient Portal account. (Though they’re usually available by the end of the day, notes can sometimes take up to 2 or 3 days to appear on the Portal.) We then submit the charges for all the care we've provided to your insurance company. A few weeks later, your insurance company will send both you and us an Explanation of Benefits which details which services your insurance plans covers and which are your responsibility. If there’s a balance due, we will prepare and send you a bill.
That’s a look behind the scenes of what happens before, during, and after your visit to Eden Park Pediatric Associates. We hope it gives you some idea of all the things that happen, and how we work together, to provide you with exceptional care and a great patient experience. If you want to know more, or if you have any questions, feel free to ask us in the office anytime!