Billing, Payment and Insurance Information
About the patient's financial responsibilities
The following information is provided to help you understand the Children's Specialty Group (CSG) doctor billing and reimbursement policy. Please read this information before your scheduled appointment. It is important that you come to your appointment prepared and aware of your personal responsibilities.
We will ask you to verify your insurance coverage at each visit. Please have your insurance card available and be sure to inform us of changes including: address, phone number, employer, and insurance.
Time of service payment requests
- Co-payments required by your insurance company.
- Non-covered services: Clinics may require special payment arrangements.
- Patients without insurance should plan to pay a deposit.
- Payment options: Cash, check, Mastercard, Visa, and Discover credit cards.
Billing
You will receive more than one bill after your child is cared for at Children's Hospital of Wisconsin. One bill will be from the hospital and another from the Medical College of Wisconsin/Children's Specialty Group for the doctor. A third bill may come from the Pediatric Radiologic Services if your child has X-rays or another radiology service.
Questions and/or requests for payment arrangements regarding your account with CSG doctors can be directed to our billing office at (414) 456-4511 or 1-800-242-1649. We are located at Research Park Center, 10000 Innovation Drive, Milwaukee, WI 53226.
Insurance filing
The CSG Billing Office files health insurance claim(s) on the patient's behalf. Once we have submitted your bill to your insurance company, it takes about 30 days for processing. We also submit claims to secondary insurance carriers once primary insurance benefits have been resolved.
Please remember, the ultimate financial responsibility for payment lies with the patient, not the insurance company.
Health insurance benefits vary. It always is advisable to check with your insurance company or employer before receiving service:
- Some plans require referrals or authorizations.
- Benefits for office visits might depend upon the place of service (CSG physicians provide services in outpatient hospital clinic. Hence, your insurance may consider the Children's Hospital clinic charge as a hospital visit and process it according to your hospital benefits).
Medicaid. Medicaid recipients should come to appointments with a current Medicaid card and be prepared to pay a co-pay portion.
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