INSURANCE - BILLING INFORMATION
NOTICE PAGE
7/2/08 - Sewickley Valley Pediatric & Adolescent Medicine follows the recommendations of the American Academy of Pediatrics (AAP) in the treatment of our patients. Since there are several hundred different insurance carriers and plans available, Sewickley Valley Pediatrics does not, and cannot guarantee which treatment and/or procedures will be covered under your individual plan. Fees not paid by your insurance company will become "patient responsibility."
7/2/08 - The M-Chat questionnaire is a screening tool used to assist our physicians in assessing and reporting the development of your child, specifically for the diagnosis of Autism. The physicians of Sewickley Valley Pediatric & Adolescent Medicine adhere to the recommendations of the AAP. The AAP recommends autistic developmental testing at 18month, 2 year and 2 1/2 year physical. This testing is billed as CPT Code 96110 which is defined by the American Medical Association as "Developmental testing; limited (e.g. Developmental Screening Test II, Early Language Milestone Screen), with interpretation and report." Our charge for this service is $28.00 per screening. This developmental test may or may not be covered by your insurance plan. As stated in our financial policy ~ you recognize and accept responsibility for services rendered regardless of insurance coverage. This includes, but is not limited to co-insurance, co-payment, deductible, and non-covered services.