OFFICE POLICIES

Appointments

Office visits are scheduled by appointment only. We always attempt to provide same-day sick visits. In urgent cases, please call and ask for nurse triage to determine the best course of action. If your child is facing a life-threatening emergency, call 911 immediately.

Saturdays

Our office is open during the school year on Saturday for urgent visits only. We do close during the summer on Saturdays. Please call our office at 8:30 on Saturdays if you need an urgent appointment, as we do not take walk-ins and we are only here for a short time.

After Hours

You can reach the After Hours service by simply calling the main office number at 865-458-5666. One of our physicians is always on-call, if needed. Be advised that some circumstances warrant an Emergency Room visit, and we urge you to follow the advice of the After Hours service.

Confirming Appointments

We send out cards in the mail two weeks prior to your appointment and we call and text you 2-3 days before your appointment. Please use these resources to insure that your child's appointment is confirmed. Not confirming your appointment could result in cancellation of your appointment.

Cancellations

We require a 24-hour notice if you need to cancel a scheduled visit. Failure to keep appointments or to abide by this policy interferes with our ability to provide the best care for our patients and could result in discharge from the practice.

Nurse Advice

Many questions can be answered over the phone by discussion with our phone nurse. She can be reached by calling the main office number.

Other Caregivers

In the situation that a caregiver other than a legal guardian of your child needs to bring him or her for a visit, please accompany them with a signed statement authorizing care.

Accepted Insurance Plans

Our physicians are credentialed with most private insurers and with Blue Care, United Healthcare Community Plan, and Amerigroup.

TNCARE Information

IF YOUR CHILD HAS TNCARE, IT IS VERY IMPORTANT THAT YOU TURN IN THEIR SOCIAL SECURITY NUMBER TO TNCARE AS SOON AS YOU GET THEM. IF YOU FAIL TO DO SO, IT WILL RESULT IN THE TERMINATION OF YOUR CHILD�S INSURANCE.

Payment Policy Effective 10/01/2018

When do I have to pay for services? Any time you receive non-preventative medical care, such as sick visits; follow up appointments, etc� you will be expected to pay for your services until your deductible is met. If you have a very large deductible, you may have to pay out of pocket for most of your primary care services. There may be a contracted amount which we must write off if we are participating with your insurance plan. This will be determined on your EOB. If your insurance doesn�t cover preventative services, you will pay for those at time of service as well.

Copays are due at time of service and your payment will process on the date of service.

We highly recommend that you check with your Human Resource department at your employer. You could have a Health Savings Plan that may aid in the payment of your deductible.

Our payment policy will now have 2 options.

OPTION 1: At the time of service you pay the full amount of charges prior to sending to insurance, once the insurances processes, Loudon Pediatric Clinic will refund to you any amount over paid. If you have a past due balance on your account prior to 10/01/2018, we will apply the difference to that past due balance.

OPTION 2: A Debit Card, Health Savings Card or Credit Card can be placed on file and when the claim processes from the insurance, the allowable/deductible amounts will be applied. Loudon Pediatric Clinic will send you 1 courtesy statement. (15) Days after this statement, Loudon Pediatric Clinic will process the amount your insurance has deemed your responsibility. You will also receive an Explanation of Benefits (EOB) from your insurance. Make sure you review every EOB you receive.

These are the only options of payment effective 10/01/2018.

Copyright 2022 Loudon Pediatric Clinic
616 Ward Avenue, Loudon, Tennessee 37774
(865) 458-5666