For your first visit please come 10 minutes early and bring:
- Insurance card
- Child’s Immunization Records
- List of Medications
- Registration Form (Click Here For Form)
- Notice of Privacy Practices (Click Here For Form)
- New Patient Questionnaire (Click Here For Form)
If you do not have insurance or if the care you receive is not a covered service of your medical plan, payment needs to be made at the time of your appointment unless the Billing Manager has approved other arrangements in advance.
If you give us the proper documents, we will file your medical claims for you. If you want us to file your claims we ask that you provide us with current information about every plan you have, including private plans, employer plans, managed care plans, HMO, PPO plans, and state, federal and military programs, and any other type of medical plans you may have. Even if you believe a particular plan will not pay anything for this service, you still need to provide us with current information about the plan or we cannot correctly file any medical claims in your behalf.
Immunizations are very expensive and if you know your child is going to be receiving immunizations at his/her visit, please be sure to verify what type of coverage your plan has, in order for our nurses to know what type of vaccine to administer (state funded or private) to avoid any unexpected charges. If your insurance has any type of coverage for preventative medicine, we are required by law to charge for private vaccinations. If your insurance pays $0.00 for preventative or you have no insurance coverage at all, the vaccinations are given at a minimal fee through the Vaccine for Children program.
Co-payments and Deductibles
On account of the contract between you and your insurance company co-payments and deductibles need to be paid at the time of service. Unfortunately, we will no longer be able to bill for co-payments and deductibles due to the increasing cost of processing claims and sending statements to patients. If it becomes necessary to bill for a co-pay there will be a $5.00 billing fee.
If your insurance company has percentage co-pay we would be happy to figure that percentage for you at the time of your visit.
All returned checks will be subject to a 20.00 fee.
Private Pay Patients
We understand the hardship of being without medical insurance and give a discount to those willing to pay for services at the time of the visit. If you have any questions about the cost of a particular service we have copies of our fee schedule available upon request.
Insurance Identification Cards
We ask that you allow us to make a photocopy of the front and back of each medical plan ID card. Brigham Pediatrics does ask that you provide us with the Social Security Number of the policyholder for each plan. We only use Social Security numbers for filing your medical claims and collecting payment due. We do not use Social Security numbers for any other purpose.
If one of your medical plans is TRICARE/CHAMPUS, please allow us to make a photocopy of your current military ID card.
We ask that you sign a statement allowing us to release your medical records to your medical plan(s), and sign an assignment-of-benefits for every medical plan allowing the plan(s) to send payment directly to Brigham Pediatrics. If any of the information you supply is incorrect or if you medical plan has expired, you will be responsible for payment in full.
If your injury is related to an automobile accident, please supply us with information about your automobile policy and the automobile policy of the person found to be at fault for the accident.
In fairness to the provider and the other families that are waiting for appointments, we require at least four hours’ notice whenever possible when canceling an appointment. We understand that occasionally missed appointments are inevitable and we will try and reschedule you as soon as possible. Those who repeatedly miss appointments may be subject to a charge, which cannot be billed to your medical plan. Thanks for your cooperation!
Well child appointments:
If a patient is scheduled for a well child appointment and is more than 15 minutes late for check-in, the patient will be asked to reschedule. Under certain circumstances it will be left up to the provider’s discretion whether or not they will be able to see the patient.
Sick Child Appointments:
If a patient is scheduled for a sick child appointment and is late for check-in, the patient will be given the option of rescheduling, waiting for a patient to no show or come late. Otherwise, they will be seen at the next available appointment time.
Ongoing Problem appointments:
If a patient is scheduled for an ongoing problem appointment and is late for check in, the patient will be asked to reschedule.
Labs can be done anytime of the day, however if your child’s labs come back abnormal the provider will discuss the diagnosis, medication options, possible side effects, etc. You will then be required to pay a co-payment for lab only services.
We appreciate serving all your children’s healthcare needs and look forward to serving you in the future!
Carey D. Lloyd M.D.
Dr. Lloyd completed his pediatric training in Portland Oregon at the Oregon Health Sciences University, Doerenbecher Children’s Hospital.
Marcus P. Buchanan M.D.
Dr. Buchanan attended medical school at the University of Utah and completed his pediatric residency at Primary Children's Medical Center in Salt Lake City.
Ronald S. Bingham
Ron attended the University of Utah School of Medicine and graduated in 1993.
Family Nurse Practitioner
Alysha attended the Graduate Nursing Program at Idaho State University where she graduated in 2004.