5419 N Lovington Highway
Building 1, Suite 2
Hobbs, NM 88240
(T) 575-392-1503 (F) 575-392-3555
(E) info@sherifpediatrics.net
Financial, Appointment and Privacy Policies

This page contains Sherif Pediatrics' Financial, Appointment and Privacy Policies. Please call us should you have any questions about any of our practice's policies.

FINANCIAL POLICIES

+ ACCEPTED INSURANCE

We accept most insurance plans. You can find more detailed information under the FAQS link.

If you are not covered by an insurance plan we accept, full payment is expected at each visit. If you are insured by a plan we do accept, but find their system states your coverage is termed for any reason, payment in full for each visit is required until we can verify your coverage. Once coverage can be verified, claims will be resubmitted and upon receipt of insurance payment, a refund will be issued to you.

+ CO-PAYMENTS / CO-INSURANCE

Co-payments and co-insurance must be paid at time of service. These arrangements are part of YOUR contract with YOUR insurance company. Failure on our part to collect the patient responsibility payment, at the time of service, can be considered fraud.

+ NON-COVERED SERVICES

We believe that the supplies and / or services listed below are an important part of your child's care. We recommend that you receive these supplies and / or services in our office in order to provide your child with the best care possible. School forms require some of these services.

Please be aware that some services you receive may be considered non-covered by your insurance carrier. You are obligated to pay the "patient responsibility" portion for these services. Each insurance carrier has hundreds of different insurance plans; therefore, knowing your benefits is YOUR responsibility.

Please be aware our billing department is not responsible for knowing what YOUR specific plan will or will not cover. We have contracted with certain insurance carriers and must follow what is allotted on the patient's Explanation of Benefits. Any patient responsibilities "write off" is considered fraud, therefore, if the Explanation of Benefits states a patient balance, we are obligated to collect that balance by law.

To help you determine what is a covered service is and what is a non-covered service, we suggest you call your insurance company directly.

+ PROOF OF INSURANCE

All patients must complete our patient insurance form at the time of appointment. A copy of your current insurance card must be on file before we submit claims to your carrier. It is your responsibility to notify us within 30 days with any change of insurance.

+ CLAIM SUBMISSION

We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claims is your responsibility whether or not your insurance company pays your claim. Your insurance benefits are contracted between you and your insurance company. WE ARE NOT a party to that contract. Insurance carriers will not accept any claims submitted after 90 days, therefore, it is imperative we have accurate information prior to submitting your claim to avoid any delay.

Secondary Insurance: As a courtesy, we will submit to a secondary carrier.

+ MISSED APPOINTMENTS

If you are unable to keep your appointment, please give us the courtesy of canceling at least 24 hours in advance. This gives us the opportunity to fill the schedule.

+ RETURN CHECK

Our return check fee is $20. After two bounced checks, patients are required to pay with cash only.

+ MOTOR VEHICLE ACCIDENT CLAIMS

Motor vehicle accident claims are covered by No-Fault Insurance. It is YOUR responsibility to notify the carrier involved and submit our bill to them. We will complete the NO FAULT CLAIM form once we receive it from your carrier. It is your responsibility to follow up with the insurance carrier if payment is not received within 45 days at which time it will then be considered a Patient Balance.

+ NON-PAYMENT

It is our office policy that patient balances must be paid in full prior to scheduling any well appointments. If your account is 90 days past due, you will receive a letter stating that you have 10 days to bring your account current. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency and your immediate family members may be discharged from this practice for non-payment. If this should occur, you will be notified by regular and certified mail that you have 30 days to find alternative medical care. During the 30 day period, we will treat your child for sick care only.

Appointments Policies:

+ PRE-BOOKING

We do not pre-book sick appointments. Sick appointments need to be made the day the patient wants to be seen. We do pre-book for re-checks, immunizations, well visits, pre-surgical clearances, etcetera.

+ WALK-INS

Sherif Pediatrics does not accept walk in visits, unless it is an emergency. If a patient does come in and there is room in the schedule, then we can fit that patient in at that time. We may ask you to come back later that day if we are unable to fit you into our schedule.

+ CALL BACKS

When taking call backs, we advise the parent / patient on the phone that either the nurse or provider will call them back as soon as they can. We take a brief message of what the problem or question is so that the nurse or provider has an idea of what the situation is prior to returning the phone call.

+ AFTER HOURS PHONE COVERAGE

Every night after the office closes, all calls are forwarded to the after-hours answering service. There is always an "on call" person that can be reached if you need to speak to one. If a patient must talk to a doctor during the evening hours, they can leave a message with the emergency line, where at that time, the service will contact the on call doctor so that they can return the phone call to the parent.

+ SCHOOL / CAMP FORM

If the school form is available at the time of the well visit, the form can be completed at that time. If the form is to be completed at some point after the well visit, most forms can be completed within 5-7 business days during busy well season or 2-3 days any other time of year. Please notify us if there is a deadline for the form to be completed, and we will do our best to complete it as quickly as possible.

+ MEDICAL RECORDS REQUEST INCLUDING IMMUNIZATION RECORDS

If a parent is requesting immunization or health records by fax, they must first provide us a written consent to release that information. If you are unable to fax us consent, we will only be able to mail them home or you can pick up a copy in the office.

+ NEW PATIENTS

Our panel is open to new patients. Prior to booking a well visit as a new patient, we will need the child's records from the child's previous pediatrician. You will need to complete a record release form and have the records sent to us prior to your visit. If your child has an HMO, the PCP will be verified prior to the visit. One of our providers must be verified as the PCP. When registering new patients, several things are needed, such as name, date of birth, address, phone number, insurance ID number, etcetera. Whether it is a newborn or a child coming to the practice for the first time, there is paper work that needs to be filled out for HIPPA and billing purposes. We encourage you to download the forms from our website and complete them prior to your visit.

Privacy Policies:

Patient Privacy

HIPPA (The Health Insurance Portability and Accountability Act of 1996) rules are taken very seriously at Teens & Tots Pediatrics. Parents fill out paperwork that gives us permission to release medical information to where they request us to. Other people are not allowed to get information or to bring a child in, if the parent or guardian does not give consent. Medical information is not allowed to be faxed without written consent.

+ HOW WE PROTECT YOUR INFORMATION

We adopt appropriate data collection, storage and processing practices and security measures to protect against unauthorized access, alteration, disclosure or destruction of your personal information, username, password, transaction information and data stored on our Site.

+ SHARING YOUR PERSONAL INFORMATION

We do not sell, trade, or rent Users personal identification information to others. We may share generic aggregated demographic information not linked to any personal identification information regarding visitors and users with our business partners, trusted affiliates and advertisers for the purposes outlined above.

+ THIRD PARTY WEBSITES

Users may find advertising or other content on our Site that link to the sites and services of our partners, suppliers, advertisers, sponsors, licensors and other third parties. We do not control the content or links that appear on these sites and are not responsible for the practices employed by websites linked to or from our Site. In addition, these sites or services, including their content and links, may be constantly changing. These sites and services may have their own privacy policies and customer service policies. Browsing and interaction on any other website, including websites which have a link to our Site, is subject to that website's own terms and policies.

+ CHANGES TO THIS PRIVACY POLICY

Sherif Pediatrics, LLC has the discretion to update this privacy policy at any time. When we do, we will revise the updated date at the bottom of this page. We encourage Users to frequently check this page for any changes to stay informed about how we are helping to protect the personal information we collect. You acknowledge and agree that it is your responsibility to review this privacy policy periodically and become aware of modifications.

+ YOUR ACCEPTANCE OF THESE TERMS

By using this Site, you signify your acceptance of this policy. If you do not agree to this policy, please do not use our Site. Your continued use of the Site following the posting of changes to this policy will be deemed your acceptance of those changes.
Office Hours
Monday through Friday:
8:00am to 5:00pm
Saturday & Sunday:
Closed
© 2014-2020 Sherif Pediatrics Clinic
info@sherifpediatrics.net