• Scheduling
  • Routine Wellness Visits (RWV)
  • Ill Visits (IV)
  • Sports Physicals
  • Cancellations
  • Co-Pays and Deductables
  • Account Delinquency
  • School, Sport, and FMLA Forms
  • Requesting Records

Our Office

Welcome to American Health Network pediatrics in Grove City where “caring makes a difference”. Thank you for choosing us. The providers and staff are grateful for opportunity to serve your family with comprehensive pediatric and adolescent health care. Please take time to review the following information that is both helpful and vital to our on-going relationship.

Know Your Benefits

For the benefit of our patients, we are contracted with several insurance carriers as a provider. You will want to check your benefits booklet or with the benefits department of your employer to verify that our providers and are listed within your network. We also ask that you have complete knowledge of you insurance benefits/coverage for such things as routine well visits, vaccines, labs and procedures.

Scheduling

Our scheduling lines are open Monday throughFriday 8:30am – 5:00pm and Saturday starting at 8:30am for emergency ills. We have evening hours available until 6:00pm on Monday, Tuesday and Thursday and a provider on call outside of normal hours to handle any emergency that might occur until are office reopens. Our website, (www.ahni.com/gcpeds) contains a wealth of information and links for all your non emergency questions. We offer same day ill appointments so that your child can be evaluated and treated the day he or she becomes ill.

Routine Wellness Visits (RWV)

We emphasize early detection, early intervention and prevention during routine health and wellness visits. Topics involving normal growth, development and physical exams as well as injury prevention are discussed while the recommended vaccines are given. Your child will be seen several times under the age of 3 years and annually thereafter. These visits can be scheduled in advance to accommodate your schedule.

In the event that an illness or abnormal condition is revealed during the routine visit and addressed, you may be asked to reschedule you routine visit in lieu of the illness being treated or if the problem is addressed along with the completion of a well visit, an added charge will be incurred.

Ill Visits (IV)

These visits are generally scheduled “same day” to address your child’s immediate health care needs. This (IV) visit involves a thorough history and physical exam along with the necessary treatment.

4074 Gantz Road | Grove City, Ohio 43123 | F 614.871.4803 | www.ahni.com/gcpeds

Sports Physicals

Sports Physicals are required annually for participation in sports. We strongly discourage you from going elsewhere to have your child examined. Our office knows your child best and will perform a thorough history and physical that will be valid for the next 12 months.

Cancellations

We do understand that in today’s busy world occasionally situations come up that are beyond your control. In those instances, we do request you extend us the courtesy of a 24 hour notice. This courtesy allows us to continue to operate efficiently and use the time that was reserved for your child to help other patients in need. It is our policy that if you miss or call within less than the requested 24 hour appointment time period, your account will be subject to a $25.00 “no-show” fee. In the event that missed appointments become habitual, the practice may terminate our provider-patient relationship.

Co-Pays & Deductables

KNOW YOUR BENEFITS!!!

For the benefit of our patients, we are contracted with several insurance carriers as a provider. You will want to check your benefits booklet or with the benefits department of your employer to verify that our providers and are listed within your network. We also ask that you have complete knowledge of you insurance benefits/coverage for such things as routine well visits, vaccines, labs and procedures.

Co-Pays and Deductibles:

As part of our contract with the insurance companies we are legally required by the terms of the contract to collect any co-pays or deductibles from you at the time of service. We do ask that you be prepared to pay your co-pay at the time of check in. Your account may be assessed a $10 charge if payment is not received on the day of service. Failure on our part to collect these monies can result in cancellation of our provider contract. Patients who do not have insurance coverage will be expected to pay in full at the time of service. We will offer a 15% discount for same day payment of services. For your convenience we accept Cash, Check, Master Card and Visa.

Account Delinquency

Delayed payments requiring multiple billing statements may result in late payments fees and interest and potential discharge from the practice.

It is our desire to have a mutually respectful relationship with our patients. As part of the relationship we expect our patients to maintain a good credit rating with our office. Failure to pay for medical service delivered in good faith will cause a patient ’s account to be turned over to an outside agency for collection. Should this become necessary your family will be discharged from the practice. If you should ever decide to file for bankruptcy proceedings against an outstanding debt owed to us it is the policy of our practice to withdraw as you child’s healthcare provider giving legally required notice.

If you have any questions or need further clarification of our practice philosophy or our policies, please do not hesitate to contact our office.

School, Sport, and FMLA Forms

Patients needing forms completed by our office need to have has a well check/physical, in our office, in the past 12 months. We request 24 to 72 hours to complete these forms and a fee of $5, for each form, will be charged upon its completion. For FMLA forms we request 24 to 72 hours and a fee of $20 will be collected before the completion of the form. To expedite completion, please have your portion of these forms filled in before dropping them off to us. Due to HIPPA law, we will no longer be able to fax any of the above forms.

Requesting Records

A fee will be charged for copies of your child's medical records, upon completion of the release of records the first time they are copied as allowed by the Ohio Revised Code Fee Schedule. The charge for additional or duplicate copies will be based on the amount allowed by the Ohio Revised Code Fee Schedule. Additional charges may be applied if your child has not been seen in our office in the past 3 years, your account has been sent to collections or your family has been dismissed from our practice. Contact our office with any questions regarding these charges.