Billing Policies

Absolutely!  For current patients, please call or email to request this. The estimate will be sent usually within 1-3 business days (by email, unless other method requested). This includes information about charges for not-covered services with your insurance (that you may be billed for if insurance denies payment).

Charges for appointments are based on the complexity of your child's diagnosis and/or medications, as well as the total time spent for completing the necessary responsibilities for your child's care on the day of their appointment, as well as the time for the appointment itself. For those who are Self-Pay (paying entire fee out-of-pocket) and those who have an unmet deductible, the quoted charges for any appointment may be different than the final amount owed. Additional charges may be added for services not covered by insurance (FMLA forms, etc) and/or for extra time spent for that appointment due to high-complexity. This fee is charged in 15 minute units, at $20 each unit.

**It is also important to know what your child's medical insurance requires for your out-of-pocket costs, for example, a copay. Contact your health plan for more information. *Also, please check with your individual insurance plan to make sure that PHMP/Dr. Flynn is listed as in-network.

**If your child's health insurance plan does not have mental health coverage, NO PROBLEM! The charges for my services are processed as medical claims, like a sick visit at your child's primary care clinic.

Yes, while PMHP is pending enrollment in several insurance plans (see up-to-date listing on home page), I recognize that this is a significant factor to be able to obtain medical care for your child. 

Please call during regular business hours to discuss discounted self-pay fees until your child's insurance can be accepted. Individual family circumstances will be considered on a case-by-case basis. 

**If your child does not have any medical insurance coverage: PMHP is not a "federally-qualified health center" (FRSA), meaning that it does not receive federal funding in order to provide a "sliding scale fee" based on household size and income. However, I will consider each family's individual circumstances  in order to provide a very reasonable discount or payment plan.

**ALL FEES ARE DUE IN FULL PRIOR TO ANY APPOINTMENT!

 All payments must be made by Credit Card (through an encrypted card service, Cardpointe). 

Visa, Mastercard, and American Express are currently accepted.

For the initial Intake appointment(s), a Billing Invoice individual Link will be sent by email or text from drflynn@pineconemhpeds.com.  This information can be saved as an encrypted token in the Cardpointe portal (the Link provided is not a patient payment portal). The actual card number is never seen by me at any time). Once a credit card is saved, future invoices will be set up as single-appointment auto-billing to charge your card on the day that their next appointment is scheduled. If you choose not to have your card number saved, you will continue to receive invoice links to an individual payment page. 

*A note about credit card statements: If you see "Skwids & Skwiggles Pediatrics, PLLC" on a statement, do not be alarmed. This is the "parent" company for Pinecone Mental Health Pediatrics. (It's actually a funny story!)

However, If your insurance plan denies the claim due to Unmet Deductible, Not a Covered Service, Lapsed Coverage, or any other member-based reason, then the financial guarantor for the child will be liable for the full remaining balance. You can request the cost of these charges before an appointment if you think that this may occur.

Insurance plans vary in how quickly they process individual claims, (from 2 weeks to 2-3 months after the appointment).

If this balance is not paid off within 30 days, (unless otherwise discussed in advance), then late fees will be charged. Late fees may vary depending on the amount of outstanding balance and the length of time that it has gone unpaid.

Yes. 

Some fees are not billed to the insurance, and are fully the responsibility of the Financial Guarantor (paid in advance). These include: 

FMLA paperwork or other forms: $50 

Same-Day Cancellations, Appointments cancelled by practice due to you being late, or any No-Show: $25 for 1st occurrence and $50 for each additional occurrence. 

Additional Appt Charges (due to extended time and/or High Complexity): 

$20/unit, Each unit = 15 minutes extra time spent. 

(this fee applies to Self-Pay or Unmet Deductible only)

Parent Request for a Copy of your child's MedicalRecords (the federal/state regulated maximum charge*)  $25 

*<500 pages, when sent electronically directly to you. Paper copies are available upon request, with additional charges.

However, if you are requesting medical records to be sent directly to your child's pediatrician, or other medical provider, you will not be charged for this service, since I believe that the continuity of your child/teen's medical and mental health care plan is vitally important for their ability to function at home, school, or work.