Contracted Insurance Plans

Cornerstone Pediatrics is considered an In-Network provider by most insurance plans. If you are unsure as to whether or not we are an In-Network provider under your plan, please contact your insurance company or employer group.

Cornerstone Pediatrics is currently not accepting new families to our practice who are covered under the following insurance plans:

• Medicaid
• CareSource
• Molina
• Amerigroup

If your child has one of these insurance plans and is an established patient or a sibling of an established patient, we will be happy to provide care for your child. Please notify our receptionist of this relationship when you call to make your appointment.

Filing of Insurance Claims

Cornerstone Pediatrics has agreed to file claims to insurance for patients who have coverage. In order to do this as accurately as possible, you must have your child’s insurance card available at each visit, and if you participate with a managed care program, one of our physicians’ names should appear on the card.

Verification of Coverage

We are unable to verify coverage by telephone or internet when you come in for a visit. It is the parent’s responsibility to have this information available to whoever is bringing the child for a visit (spouse, grandparent, nanny, etc.).

Billing Procedure

A monthly statement will be sent to you detailing balances that are due from you. The balance shown on your statement is due immediately upon receipt. If you have questions regarding your bill, or if you are working with your insurance company to get payment on a denied claim, we ask that you contact our Billing Department at (937) 886-3878 as soon as possible in order for your child’s account to remain in good standing.

Self Pay Patients

If your child does not have any insurance coverage, you may contact our Billing Department for an estimate of the charge for a particular visit, which will include a 15% self pay discount. Payment in full is due at the time of service.

Copay Collection

Your child’s copay is due at the time of service, regardless of who brings the child to the appointment. Cornerstone Pediatrics reserves the right to charge a $20.00 fee for any co pays that are not paid at the time of service.

Separated and Divorced Families

For those families where parents are separated or divorced, the parent authorizing treatment and bringing the child to be seen is responsible to us for payment. All payments are due in full at the time of service.

If a divorce decree requires the other parent to pay all or part of the treatment costs, it is the authorizing parent’s responsibility to collect from the other parent. Cornerstone Pediatrics cannot act as a mediator for collection of payment.

A copy of the bill with appropriate insurance coding will be given to the authorizing parent at each visit. If additional copies of the bill are needed, please ask the receptionist before leaving the office.

Inability to Pay

If you have extenuating circumstances that will prevent you from paying your copay or any balance due at the time of service, this should be discussed with the Billing Department prior to your appointment.

Collections Procedure

If satisfactory arrangements cannot be made in order to resolve your child's account in a timely manner, the patient and his/her siblings may be considered for discharge from our practice and the account guarantor's information submitted to a collection agency. In order to avoid collections proceedings, please respond to each monthly bill by either remitting payment in full or speaking with our Billing Department.