INSURANCE & BILLING

Insurance & Billing Policy

At CCH Pediatric Clinic, P.C., we are committed to providing high-quality, evidence-based care in accordance with the American Academy of Pediatrics (AAP) standards. Our providers make medical decisions based on what is best for your child’s health—not on your insurance plan’s coverage policies.


Insurance Coverage

Because insurance plans vary, we cannot guarantee coverage for specific services. If a provider determines that a treatment or evaluation is medically necessary, it will be performed regardless of insurance limitations. You will be responsible for any non-covered charges, co-insurance, deductibles, or other out-of-pocket costs.



We Accept Most Insurance Carriers

Patient Responsibilities

To help us process your visit efficiently:

  • Please provide current insurance information and contact details at every visit.
  • Notify us immediately of any changes to your insurance, address, or phone number.
  • Bring your insurance card to every appointment.


Payments at Time of Service

  • Co-pays and deductibles are due at the time of service. If you're unable to pay, your appointment may be rescheduled.
  • If you are uninsured or out-of-network, full payment is due at the time of service unless prior arrangements have been made.
  • We accept Visa, MasterCard, and Discover.


Referrals & Authorizations

If your insurance requires a referral or prior authorization, it is your responsibility to provide it before your appointment. Failure to do so may result in a rescheduled appointment or require full payment at the time of service.


Billing & Claim Submission

  • As a courtesy, we will file insurance claims on your behalf.
  • You are responsible for any balance not covered by insurance.
  • Claims must be paid within 60 days of processing.
  • We cannot intervene in divorce, custody, or third-party litigation disputes regarding payment.


Missed Payments & Collections

If you cannot pay in full, please contact our billing team to establish a payment plan. Minimum monthly payments (e.g., $50) are required. This is not an extension of credit. Failure to maintain your payment plan may result in your account being referred to collections.

If we are unable to contact you due to outdated contact information, your account may be immediately referred to collections. If this occurs:

  • You will receive 30 days to find another provider.
  • During that time, care will be provided on a cash-only, pay-in-full basis.


Statements & Collection Timeline

  1. Initial statement is sent after claim processing.
  2. Monthly statements follow for balances of $3.00 or more.
  3. If unpaid, a past due notice is sent.
  4. A final notice gives a 15-day deadline.
  5. After 15 days, accounts are sent to collections.


Lab Services

If your insurance requires labs to be processed at a specific facility, inform us at the time of service. CCH typically sends lab specimens to Columbus Community Hospital. If the wrong lab is used, you may be responsible for charges.


Insurance Claim Process

  • If CCH is in-network with your insurance, claims will be submitted per that agreement.
  • If out-of-network, we may still submit the claim as a courtesy, but you remain responsible for any unpaid balance.
  • If your insurance does not process a claim within 45 days, we will follow up.
  • We work to resolve claim errors quickly and handle overpayments per our Patient Refund Policy.



Need Help?

Our billing staff is available at (402) 205-5632 to answer your questions honestly and work with you to resolve issues as quickly as possible.