At KIDZ Medical Services, we provide our patients and their families with as much information as possible about the illnesses they have, the treatment options best suited for them, and much more. Here are answers to the some of our most frequently asked questions:
You can pay your balance to KIDZ Medical Services by clicking on the secure Online Bill Pay button at the top of the screen or by contacting our customer service representatives at (305) 661-1515, ext. 301. We accept Visa, MasterCard, American Express, and Discover.
If you prefer to pay by check or money order, please write your account number on it and use the payment address on your bill to mail your check, or include the top portion of your statement in the envelope you received with your bill.
You can mail your payment to:
KIDZ Medical Services
5955 Ponce de Leon Boulevard
Coral Gables, FL 33146
Here’s how to understand and read your statement:
- Addressee: Person responsible for the bill
- Payment: Dollar amount of payment to be sent
- Explanation of Activity: Details of professional services rendered
- Statement Date: Date in which statement is generated for payment
- Current account billing status: This section will show past due days
- Payment Balance: Current bill balance at time of closing statement cycle
You should receive an Explanation of Benefits (EOB) from your insurance carrier outlining how your claim was handled, including the amount of payment, patient responsibility, and/or denials. If there is a balance due from you, we will mail you a statement.
Yes, we will bill your insurance company. However, you are responsible for paying any deductible, co-payment, or coinsurance amounts as specified by your insurance policy's coverage and benefits.
Coverage and benefits vary with each policy. Please contact your insurance company to obtain the coverage and benefits information specific to your policy.
Most insurance plans require you to pay a deductible and/or co-insurance. In addition, you could be responsible for services not covered by your insurance policy. Please contact your insurance company for a more specific answer as to why they didn’t cover certain charges.
You are ultimately responsible for the total bill or any portion of the bill your insurance carrier does not pay. Our account representatives will make every effort to resolve the account balance with your insurance carrier. Occasionally, we may be unable to resolve the issue with your carrier and will need your assistance.
If you disagree with the insurance company's payment amount, contact the insurance company and ask them to review how the claim was processed. Request a reference number when speaking to any insurance company personnel. If the insurance company finds that an error was made, note the information and to whom you spoke with at the insurance company. Request an anticipated payment date and ask if they need anything from you.
If the insurance company feels the bill was paid correctly and you still disagree, find out from the insurance company what you need to do to file a "grievance and or appeal" with them. This does not guarantee that the insurance company will pay more on your bill, but the claim will be reviewed for reconsideration.
When following up with your insurance company you will need to have the following: your insurance card, date of service, facility name, original billed amount, patient name, and claim number, if available. Make sure to have a pen and paper so that you can note any information provided.
Ask the representative (note his or her name for your records) for the status of your claim. If paid, ask when, the amount of payment, and to whom the payment was made. If the bill has not been paid, request the anticipated payment date and ask if any information is pending that is supposed to be provided by you.
If the bill is not paid within the stated timeframe, follow up with the insurance company again and, if necessary, request to speak to a supervisor. Remember to always request a reference number, if available, for each conversation/request with your insurance company.
You can contact us by phone at (305) 661-1515, ext. 301 or email at firstname.lastname@example.org. Please make sure to include your account number and physician the bill is for. We will update your account and reply with an email confirmation (if the request is made via email).
This courtesy letter is to inform you that KIDZ Medical Services has submitted a claim with your outstanding charges to your insurance company for payment. At this time your insurance company has not yet paid or replied to us. To avoid delay in payment from your insurance company please contact us so we may verify all information submitted is correct.
The medical professionals of KIDZ are not employees of the hospital. As such, billing for our providers is independent of the hospital's billing and will not necessarily be covered by the same contractual arrangements with your health plan.
In some rare situations, our providers are not contracted with your plan. In insurance language, this makes our providers "non-participating." We will still submit claims on your behalf and the insurance carrier will process our charges and make payments based on your scheduled benefits.
You will receive an Explanation of Benefits from the carrier that may reflect the carrier did not pay the full amount of our bill. While you will be responsible for any portion of the bill that is not paid by insurance, we will gladly assist you in appealing to the carrier for additional payment. If you need this assistance, please contact us by phone at (305) 661-1515, ext. 301.
As a last resort, KIDZ may report your past due bill to the credit bureau.
Before an account is reported to the credit bureau, KIDZ makes numerous attempts to resolve any past due bills, including sending letters and statements and making phone calls.
Please respond to all correspondence received from KIDZ in order to avoid being reported to the credit bureau.
It is a specific dollar amount that an individual must pay (or "satisfy") before reimbursement for expenses begins. The higher the deductible, the lower the cost of the health insurance plans.
Each person covered under a group health insurance plan must meet a deductible before expenses will be covered. However, plans usually include some type of family deductible in order to limit a family's exposure for healthcare expenses.
The family deductible is usually some multiple of the individual deductible, generally two or three. For the family deductible to be satisfied, the combined expenses of covered family members are accumulated. Some plans require, however, that at least one family member satisfy the full individual deductible before the family deductible can be met.
Coinsurance is a feature found in most group health insurance plans. It sets forth the percentage of covered expenses that the employees and the health insurance plan will pay. The most common coinsurance level is one in which the employee pays 20% of the expenses and the insurer pays 80%. This is called 20% coinsurance.
Medicaid provides healthcare to certain low-income individuals and families with limited resources. Medicaid does not pay money to you. Instead, it sends payments directly to your healthcare providers.
Medicaid is a state and federally funded program. Although the federal government sets general program rules, each state defines its own eligibility rules and runs its own program services. Qualification in one state does not mean you will qualify in another state. You must be a U.S. national, citizen, or permanent resident alien in order to apply for benefits. For more information, call 1 (877) 267-2323 or go to the Medicaid website.
Applications for Medicaid are made through the Florida Department of Children and Families (DCF). Families can apply for Medicaid online at the DCF site or by calling the DCF toll-free number: (866) 762-2237.
Recipient eligibility for Medicaid is determined by the Department of Children and Families, Office of Economic Self Sufficiency. For more information, call the toll-free telephone number: (866)76ACCESS (866) 762-2237, go to the DCF website or go to your local Children and Families service center.
For each person you are applying for, you will need their name, date of birth, social security number, and where they were born.
You will also need your:
- Household expenses (rent, mortgage, utilities, etc.)
- Information on all vehicles in the household
- Information on the household’s bank accounts, savings, and cash on hand
- Information regarding income, child support, and social security information
No, your baby needs his or her own Medicaid policy. If you applied for Medicaid for your baby prior to delivery, notify the Medicaid office that your baby has been born as soon as possible (before 30 days of age) and comply with all Medicaid instructions.
Yes, retroactive eligibility can be provided if you apply within the first 90 days of birth.
No, out-of-state Medicaid policies typically do not cover physician charges in Florida.
There may be numerous reasons for Medicaid to deny payment. Parents must contact DCF immediately at (866) 762-2237 to verify if an error has occurred. Once this has been done, please contact your KIDZ representative and provide them with all necessary information.
Yes, you are ultimately responsible for all your child's medical bills.
You may receive several bills for the same hospital visit. However, these bills are for different services; they are not duplicate charges. One of these bills will be from the hospital, and it covers charges for equipment, medication, and supplies. Our bill is for the professional charges of the services rendered by the physicians of our neonatal group.
KIDZ Medical Services professionals only attend to a baby upon request. We may have attended your baby for various reasons such as:
- Request by your obstetrician due to a high-risk delivery, which may include preterm, meconium-stained amniotic fluid, cesarean section, and multiple births
- A request by your hospital’s personnel or administration
- Your pediatrician may not have privileges at your delivering hospital.
- Newborn complications including temperature instability, jaundice, and poor feeding
No. We are hospital-based physicians. Your hospital has contracted KIDZ Medical Services to provide emergency services as necessary. This decision exemplifies your hospital's commitment to the provision of excellent healthcare.