Skip to main content

Thank you for choosing Northern Virginia Pediatric Associates, PC as your child’s healthcare provider.  To ensure insurance and billing are as seamless as possible, we ask that you please read the information below carefully.  Should you have any questions, our team will be happy to answer them.  You can reach the business office by dialing our main number (703) 532-4446 and selecting option 5.

NVPA follows the guidelines established by the American Academy of Pediatrics for rendering appropriate, quality medical care regardless of the provisions you have with your insurance company. It is the parent/guardian’s responsibility to know if we participate with their insurance and to understand their benefit coverage prior to any services being rendered.  Any questions regarding participation or coverage should be directed to your insurance company.

Newborns should be added to your insurance after you are discharged from the hospital.  Care for your newborn is not covered by your insurance until the baby is officially registered on your plan. Most insurance companies require this to be done before your child is 30 days old.

We will bill participating insurance companies as a courtesy. Guarantor is responsible for all charges processed by their insurance company that are determined to be non-covered services, deductible, coinsurance and/or co-payments. Any questions regarding these balances should be directed to your insurance company.

It is the responsibility of the guarantor to notify our office of changes in insurance and/or demographics in a timely manner.  Failure to notify the office of changes may result in claims being denied for timely filing, and unpaid charges will be billed as patient/guarantor responsibility.

Unless otherwise directed, the guarantor will be the insurance policy holder.

It is a contractual agreement between you and your insurance company to know what your co-payment is and to pay it at the time of service regardless of whether our staff requests it.   Co-payments that are not paid at the time of service will incur a $10.00 administrative fee.  Any questions regarding your co-payment should be directed to your insurance company.

Self-pay patients are expected to pay in full at the time of service unless prior arrangements have been made.

If we discover an abnormality or address a pre-existing condition during a routine preventative well visit, an additional diagnostic code may be needed, and your insurance company may apply a co-payment or deductible for that portion of the visit.

Calls returned by a provider for patient evaluation/advice may be billed to your insurance based on time required for the call and documentation.  Depending on your insurance coverage, you may be responsible for charges for a telehealth visit.

Please be aware that travel visits and travel vaccines may not be covered by insurance and parent/guardian may be responsible for some of or all the charges.  Any questions regarding coverage for travel visits and travel vaccines should be directed to your insurance company.

Missed appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you.  A no-show fee of $50.00 for well and virtual visits and a $25.00 fee for sick and recheck visits may be incurred if the appointment is not cancelled at least 24 hours in advance.

Please do not ignore patient billing statements.  If you receive a billing statement from our office, charges have been submitted to, and have been processed by, your insurance company.  Although our business office is available to answer any questions you may have, we ask that you please call your insurance company prior to calling our office with questions regarding co-pays, co-insurance, deductibles and/or coverage.

Past due balances more than 90 days with no payment activity or payment plan in place, will be accessed a monthly $25.00 late fee.  Past due balances of $ 500.00 or more will also incur 6% interest.

Patient account balances more than 90 past due will be required to arrange for payment prior to scheduling a well visit.  Past due accounts may also be turned over to our collection agency and the patient may be dismissed from the practice.

We are not contracted with Medicaid, or Medicaid Replacement Plans, and CANNOT see patients that have Medicaid or Medicaid Replacement Plans. If you have Medicaid, or a Medicaid Replacement Plan, or plan to apply for either, you will need to find a provider that accepts Medicaid insurance.