Billing & Insurance

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Princeton Nassau Pediatrics is open to most insurances and accepting new patients. These insurances include, but are not limited to:

  • Aetna US Healthcare
  • Cigna
  • United
  • Horizon
  • Multiplan
  • Amerihealth
  • Oxford
  • Qualcare

This information changes often, so please feel free to contact us with questions. For more information, or to see if other plans are accepted by our practice, please call the Business Office at (609) 799-4311.

Fees, Billing & Insurance

Our fees are similar to those of other pediatric groups in the area. As billing adds to the cost of medical care, we request full payment for services rendered at the time you leave the office. We accept cash, checks, and Visa or MasterCard. We realize that there may be circumstances when payment at the time of service is not possible. In these instances, you will be provided with a time-of-service bill.

The time-of-service bill includes two copies, one of which can be attached to your insurance claim form, and the other saved for your records. Most major insurance carriers accept our form. It is your responsibility to pay for services and to initiate a claim for reimbursement from your insurance company. If your claim is rejected, we will help you in any way that we can in clarifying your claim. We cannot, however, guarantee your claim will be paid as plans vary greatly in coverage offered.

In the case of separated or divorced parents, it is our policy that the parent who brings the patient to the office is responsible for payment unless prior arrangements have been made with our business office. Any arrangements between the parents, legal or otherwise, are between the parents and not with Princeton Nassau Pediatrics.

We will bill for services, but only when absolutely necessary. In turn, we expect prompt payment. Payment can be made directly on our website. Care of sick children will not be withheld on delinquent accounts, but routine check-ups, camp and school forms, etc., will be denied.

Managed Care Policy

PNP Pediatrics, LLC. is a provider of several managed care plans. Subscribers to these plans have certain responsibilities. The subscriber must notify his/her plan that our practice will be providing primary care for the child(ren.) If your plan is not notified prior to the appointment, services may not be covered and you will be held responsible for the bill.

Prior to every appointment it is mandatory for each family member to present their Insurance ID card, if applicable, and pay the co-payment.

If there is a procedure ordered by one of our physicians that is not covered under your managed care plan, you are held responsible for payment. For example, some plans will cover physical exams every other year rather than yearly as required by camps and schools.