Billing & Insurance
Fees, Billing & Insurance
At Princeton Nassau Pediatrics, we strive to make the billing and insurance process as simple and transparent as possible for our families. We participate with most major insurance plans and submit claims directly to participating insurance companies on your behalf.
Insurance Coverage & Patient Responsibility
Each family’s insurance coverage depends on the specific benefits and requirements of their plan. Families are responsible for understanding their coverage, including applicable copayments, deductibles, coinsurance, referral requirements, and services that may not be covered.
We ask families to provide current insurance information at each visit and notify us of any changes in coverage. Because participation can vary by specific insurance plan, we encourage families to confirm that Princeton Nassau Pediatrics participates with their plan before scheduling an appointment.
If your insurance requires you to designate a primary care provider (PCP), please ensure that a Princeton Nassau Pediatrics physician is listed as your child’s PCP. Some plans also require referrals or prior authorizations for certain services.
Payments & Billing
Copayments and other known patient responsibilities are generally collected at the time of your visit. After your insurance company processes a claim, any remaining patient balance will be billed to you. Payments can be made securely through our website.
Certain services, including medical supplies, travel vaccines, and administrative forms, may not be covered by insurance and may require payment at the time of service.
For patients with insurance plans in which we do not participate, payment is generally expected at the time of service. We can provide documentation to assist families in submitting claims for possible reimbursement.
Please remember that insurance coverage and payment decisions are determined by your insurance company according to your individual plan benefits.
Family Financial Responsibility
In situations involving separated or divorced parents, the parent or guardian accompanying the child to the appointment is responsible for payment at the time of service unless prior arrangements have been made with our Business Office. Financial arrangements between parents remain their responsibility.
We ask families to pay outstanding balances promptly. If you have questions about a bill, are experiencing financial hardship, or need to discuss payment arrangements, we encourage you to contact our Business Office. We are committed to working with families to address financial concerns.
Questions About Billing or Insurance?
Our Business Office is available to help answer billing questions, clarify charges, and assist with insurance-related concerns.
PNP Business Office: (609) 799-4311
For specific questions regarding covered benefits, deductibles, or plan requirements, we encourage you to contact your insurance company directly.