OUR SERVICES

We offer quality care and a fun safe environment
for patients up to the age of 21.

URGENT CARE

Reston Pediatrics offers Saturday Urgent Care to our existing patients from 8-11am. Urgent Care is at our Reston Location ONLY and you must call to schedule an appointment.

Urgent Care is for acute sick symptoms only and not for any pre-existing or chronic issues. Please schedule an appointment during normal business hours for these issues. The only exception is for newborn visits as scheduled per their provider.

Please note that some insurance companies charge a $65 Urgent Care fee. All Urgent Care patients will be required to sign a waiver at the appointment acknowledging you are aware your insurance company may charge extra for the Saturday visit.

NEWBORNS

Congratulations! Reston Pediatrics is here to help you every step of the way. All of our friendly providers are affiliated with INOVA Loudoun Hospital and Reston Hospital and will be around to check on your baby and answer any questions you have.

Lactation Consulting

If you have any questions or concerns regarding breastfeeding, our clinical manager, who is specialized in lactation, is available for advice and support. Please call our office to schedule an appointment.

Meet and Greet

We recommend you come into the office for a Meet and Greet prior to your delivery. Our office manager will give you a tour of our office and you will be able to sit down with one of our providers and ask any questions or concerns you have.

Insurance

You have 30 days to add a newborn to your insurance policy. We know life with a newborn is busy, so be sure to call your insurance company as soon as you can after the baby is born.

Helpful Advice

Healthychildren.org is a helpful website for new parents and is sponsored by the American Academy of Pediatrics.

Baby’s First Visit

Once you have been discharged from the hospital, give us a call. We will add your child into our system as a new patient and set up their first appointment within 48 hours of you leaving the hospital.

What To Bring: Please bring your ID and insurance card as well as any discharge paperwork you were given by the hospital.

NEED ADVICE?

Reston Pediatrics nurses and doctors are here to help! If you are needing medical advice, please call to leave a message on the nurse line and someone will return your call in the order received in between patient visits. If your call is for a specific doctor, a message will be sent to your doctor on your behalf and they will return your call as soon as possible.

After Hours: Reston Pediatrics has an after hours triage line available to patients. As needed, they are able to page the doctor on call to assist you.

Our after hours line is 1-877-837-4670.

KID’S QUOTE OF THE MONTH

Submit your Favorite Quote for a chance to show off your child!

SUBMIT QUOTE

After watching his mom breast-feeding his new baby sister…

Mom, why have you got two?
Is one for hot and one for cold milk.

— JACK (age 3) —

MEET THE DOCTORS

We are Friendly health care providers
that bring care your child can count on.

COUNTRYSIDE LOCATION
RESTON LOCATION

 Love this practice and love all the doctors we have seen. Always professional from the start to the finish of the visit. Very kind/caring staff. They work with you to get you through well checkups/med checks as quickly as possible… No reason to be there “semi exposed” to any germs that might linger. The separate entrance/waiting room for sick kids is a huge benefit. So happy with this practice and plan to stay here with these doctors as long as possible. 

— Julie S., Northern Virginia —

Resources

New Patient Forms

This form collects all the necessary personal information for new patients.

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This form advise you of your complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.

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This form specifies methods by which you agree to let your healthcare provider use or disclose of your protected health information (PHI) for the purpose of treatment, payment, and healthcare operations.

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This form authorizes our office to provide the person or entity you designate on the form with access to your protected health information (PHI).

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This form collects information on your medical history that is important to your physician in decision-making, formulating a diagnosis and providing the right medical care for you.

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This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

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This form is used to obtain acknowledgement of receipt of our Notice of Privacy Practices.

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Other Forms

This form authorizes your healthcare provider to release your private medical records to the parties you specify.

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This form grants authority to a designated adult to provide and arrange for medical care for a minor, where the minor is not accompanied by either parents or legal guardians. This form must be given to your healthcare provider on the day of or prior to the scheduled visit.

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This form authorizes your healthcare provider to release prescriptions to parties other than parents or legal guardians.

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As a legal adult, you are in charge of your own medical records. This form allows the person or entity you specify to participate in your health care. This includes scheduling your appointments, referrals, getting your lab results and x-ray results, talking to your healthcare provider, and seeing your records. You can make deletions or additions to your Record of Disclosure Form at anytime by filling out a new form.

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This form is used to collect updated information on your medical history.

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BILLING & INSURANCE

We are doing everything possible to hold down the cost of medical care, and we agree to provide quality medical care at a fair and reasonable price. You can help a great deal by eliminating the need for us to bill you and by understanding the benefits of your insurance. The following is a summary of our payment policy.

PAYMENT IS EXPECTED AT TIME OF SERVICE:
Payment is required at the time services are rendered, unless other arrangements have been made in advance. This includes applicable co-insurance, co-payments and outstanding account balances. Reston Pediatrics Associates Physicians accept cash, personal checks, and VISA, MasterCard, American Express and Discover cards. There is a service charge for all returned checks.

If you receive more than one type of service on the same day, you may be responsible for more than one co-pay or the balance for the additional service, depending on your insurance plan (i.e.: well exam and a routine/ sick visit). Any amount not covered by the insured/ patients insurance is due upon receipt of the bill. Failure to pay balances may result in discharge from the practice.

Patients with an outstanding balance of $100 or are 45 days overdue must make arrangements for payment prior to scheduling appointments.

Our billing representatives are available to discuss payment arrangements with you,
Monday-Friday between 8.00am and 4.00 pm, at 703-450-8660, ext 234.


We will give you an estimate of the cost of the visit and payment is due at the time of service.
Please see the Front Desk staff when checking out.

Overpayments, credits, and unapplied credits on a patient account will be refunded upon written request to Reston Pediatric Associates from the responsible party within 30 days.

If you are enrolled in a managed care insurance plan, (i.e., HMO, PPO) you must verify that one of your doctor’s names is on your insurance card. If your insurance card does not list us as your Primary Care Provider (PCP) and denies payment, we will bill you for all services. There is often a window of opportunity for you to change your PCP- please check with your insurer for the correct timing of the change.
If your insurance requires referrals to see a specialist you must request the referral prior to your appointment. NO retroactive referrals will be given.

Broken appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. Cancellations are requested 24 hours prior to the appointment, and 2 hours for same day sick visits. We will charge a $25.00 for missed appointments or same day cancellations. Should you miss more than two appointments and fail to cancel in advance, you may be discharged from the practice.

Just as we receive an “Explanation of Benefits” (EOB) with payment from your insurance company, you too should receive a copy from the insurer that will detail outstanding balances you owe us.

All bills for patient balances are mailed to the address of record. There is no provision for us to “magically” ascertain that we have the correct address.
Therefore it is imperative that you update us with any and all changes to your account whether it is a change of address, phone number, insurance, etc.

On an occasion that our computer does not generate a statement for you of all monies owed or your bill has gone to an old address, we will assume that you have been notified by the EOB sent to you from your insurer. Any and all outstanding balances over 90 days with no payment activity, no attempt to pay or dialogue with our billing office may be turned over to our collection agency.
Please do not ignore these statements, please contact us to help you meet your obligations. If your account is sent to the collection agency, you may be discharged from the practice.

There is a $30.00 fee for all returned checks.

Writing a “bad check” is punishable under law. We will mail a letter requesting that payment be made within 5 days after receipt. All obligations not honored within this time frame will be pursued through the applicable court and you will be discharged from the practice.

You must complete Reston Pediatrics Associates Authorization for the Release of Medical Information form prior to your records being copied. A fee is charged for this service, which conforms to State code. RPA does not benefit financially from this service.

We participate in many managed care plans; we do not participate with Medicaid insurance at Reston Pediatrics Associates. However it is your responsibility to know whether your insurance has restrictions on the doctors you can see, or limits the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier as a courtesy to you. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts. Please verify with your insurance company the scope of your financial responsibilities are with respect to your contract for coverage with your insurance company. Your coverage is a contract between you and your insurance company. Co-payments are due at the time of service.

Please see the detailed list of plans, many plans require that you make a co-payment at the time of service. We accept cash, checks and most major credit cards at our office.

Please bring your insurance card with you for each visit and notify our front desk staff with any insurance coverage updates.

Please contact our billing office at 703-450-8660 Ext 234, or call your insurance carrier should you have questions.

Insurances we currently accept:

 

  • Aetna
  • Anthem Blue Cross Blue Shield
  • Assurance
  • Carefirst Blue Cross
  • Cigna
  • Coventry Foreign Service

 

 

  • GMMI
  • Humana
  • Loomis
  • MDIPA
  • Meritain
  • United Health Care

 

 

  • Federated Insurance
  • GEHA
  • Golden Rule
  • Private Health Care System-PHCS
  • Tricare (Campus)
  • UMR
If your insurance company is not on our list please call the number on the back of your card to verify if you are able to be seen at our office.

Your insurance policy is a contract between you and your insurance carrier. Reston Pediatrics Associates Physicians are not a party to that contract. We MUST emphasize, that as your healthcare provider, our relationship is with YOU and not your insurance company.

We will bill participating insurance companies as a courtesy to you. Nevertheless, YOU are responsible for payment regardless of your insurance company’s decision to deny coverage or to reimburse less than the allowable.

You are expected to pay your co-payment and outstanding balances at the time of service.

Your contract with your insurance company determines the amount of your co-pays and other patient responsibilities. Co-payment amounts are not always clearly indicated on your insurance card. It is your responsibility to know whether or not you have co-pay and to pay at the time of service. If our staff does not “ask” for your co-pay amount or if your co-pay is not clearly indicated on your insurance card, this is not considered a waiver of your contractual requirement with your insurance company to pay this fee nor is it construed as our waiver of acceptance of your co-payment at the time of service. Co-payments not paid by you at the time of service will be billed with an additional charge of $5.00 fee.

If we have not received payment from your insurance company within 45 days of the date of service, you will be expected to pay the balance in full. You are responsible for all charges.

Please understand the benefits your insurance provides for office visits. It is your responsibility to know what services are covered. If you are unsure, check with your employer or call your insurance company.

As board certified Physicians, we follow guidelines established by the American Academy of Pediatrics for rendering appropriate, quality medical care regardless of the provisions you have with your insurance company.

It is your responsibility to be aware of your insurer’s provisions for payments of office visits, hospitalizations, immunizations, well- child exams and routine medical exams including school, camp or sports physicals.

Patients who arrive to be seen in our office with invalid/ terminated insurance, lack of proof of continuing coverage (new insurance pending), or the wrong doctor’s name on the card will be seen if payment for the visit is received at the time of service. It is the Parents responsibility to contact our office to provide insurance information once it becomes available.

Please register your newborn with your insurer as soon as you are discharged from the hospital. Care for your newborn is not covered by your insurance until the baby is officially registered on your plan. Most insurance requires this to be done before your child is 30 days old. We will not schedule any well-child exams after the 2 month exam for patients with previous balances and/ or no verifiable insurance unless you are prepared to pay for the current exam in full and 50% of the outstanding balance on the account.

The parent (s) or guardian (s) accompanying a minor is responsible for providing current insurance information for the minor as well as all associated payments due for any services provided.

Parent (s) or guardian (s) must have an Authorization for Medical Treatment form signed for times when minors arrive unaccompanied for an appointment.

Insurance claims may be denied because your insurance company has requested additional details from YOU. Examples are “Coordination of Benefits” (COB) Questionnaires and written requests for “accident information”. Your insurance company will not pay until you fulfill their request. Once again, the provisions of your insurance are between you and your insurer. In these cases, you will be billed for outstanding charges until the insurer receives the information from you, and you ask the insurer to process the claim and we are ultimately paid for our services.

Our Physicians and Nurses focus their time and attention on patient care and will therefore defer all billing questions and or concerns to our billing office.

Every plan must provide a complete description of its coverage, requirements, and limitations. This information is often available on your insurer’s website. Read it carefully and ask questions if there’s anything you don’t understand.

We welcome the opportunity to discuss any aspect of our financial/ payment policies with you.

HELPFUL LINKS


WE LOOK FORWARD TO MEETING YOU

VISIT EITHER OF OUR CONVENIENT LOCATIONS

GET IN TOUCH WITH US

Please call or email us to schedule your meet & greet!
This form is for NON-MEDICAL communications only! If you have a question regarding your medical care, please call our office.
IF THIS IS AN EMERGENCY, CALL 911 IMMEDIATELY!

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