Patient Information
Frequently Asked Questions about the Clinic:
1. My child is not special needs - do you offer primary pediatric care?
The Clinic offers care to ALL children of ALL abilities! With specialized training providers, our Clinic can uniquely assess, diagnose, and treat children in their early stages for specialized care. The Clinic always considers a whole child, including environmental and overall wellness, when considering care and treatments.
2. Is there a waitlist to become a new patient?
Please fill out our New Patient Intake Form for more information and to begin becoming a patient.
3. What Insurance does the Clinic Accept?
The Clinic now offers more ways to join our healthcare family than ever! We accept Claritev, BCBS, Aetna, Cigna, United Healthcare, Medicaid Direct, Caresource for pediatric care only and all NC Medicaid managed care PHPs. We also accept all 4 tailored Medicaid plans. The clinic is at capacity for all Medicaid patients and can no longer onboard anyone with a Medicaid Plan. We have a schedule of fees for direct cash payments and a superbill should you choose to personally submit the claim to your insurance company (we do not offer assistance with this). We are NOW offering a Direct Membership Model for families who choose the Clinic for its healthcare and wellness community. The Membership provides affordable access to care with monthly membership fees instead of fee-for-service billing.
4. I am a current patient, How can I access my child's patient information, including billing and appointments?
All of your child's information can be found easily on the chARM portal, including; appointment reminders, notes from prior visits, prescriptions, diagnoses, bills, and invoices.
We are happy to have newborn babies and their families join the Clinic! The initial intake process and paperwork can take up to two weeks. Please establish patient care through the PATIENT INTEREST FORM, which will prompt a call with our intake coordinator, at least two weeks before the child is born to ensure they can be seen in the office as soon as possible.
Our clinic is usually in-network with the following insurance companies; however, you must call your insurer directly to verify benefits:
In-Network Commercial Plans
-BCBS, Aetna, Cigna,Trillium, Claritev, United Healthcare, Vaya, Alliance, and Partners.
-Caresource for pediatric care only.
-BCBS in-network plans are usually only plans originating in NC
In-Network Medicaid plans
- Medicaid Direct, Medicare, UHC Medicaid, AMH-Caritas Medicaid, WellCare Medicaid, Health Blue Medicaid, and Carolina Complete Health Medicaid.
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It can take several weeks for us to directly verify insurance coverage, but a benefits/eligibility check will be done on your child’s behalf before the first scheduled visit
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If your child has an in-network insurance plan, you can disregard the monthly membership plan as this is typically utilized by families with out-of-network coverage
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We recommend that you call the phone number listed on your insurance card to verify if you are in-network with our clinic/providers before contacting us to discuss enrollment
