Billing and Fees
Mia Bella Pediatrics Billing Policies
Understanding Your Patient Responsibility
All co-payments are expected at time of service. For your convenience, Mia Bella Pediatrics accepts cash, personal checks, and Visa/MasterCard debit and credit cards. Surcharges will be assessed for returned checks or co-payments not made at time of service.
Our contracts with insurance companies require that we verify your current coverage and collect your co-payment at each visit. If your insurance plan requires deductibles and coinsurance, you will be asked to leave a credit card on file so we can charge the assessed patient responsibility after your payer returns the Explanation of Benefits. We do not store credit card numbers in our office, but we use a secure link to access the information when we need to process a charge. Please bring your insurance card to every appointment.
If you would like to contact our biller regarding your bill, please fill out this form with all necessary information. Our billing team will respond to your inquiry as soon as possible (usually within one business day unless research with your insurance company is needed).
Pay Online with InstaMed
Pay your Administrative Fee or any outstanding balance quickly and securely online through InstaMed.
No account number is needed to make a payment. You can pay as a guest or create an optional InstaMed account to view statements, manage payment preferences, and receive text or email notifications.
Need help making a payment?
View our Step-by-Step InstaMed Payment Instructions (PDF)
Ready to pay?
PAY YOUR BILL ONLINE WITH INSTAMED
If you need assistance with your bill or payment, please contact our billing team at (949) 206-0001.
Fees for Non-Covered Services
The following fees will be charges for services that are not covered by insurance:
| Non-Covered Service | Amount |
|---|---|
| Missed Sick Child visit (if not cancelled 2 hours prior) | $75 |
| Missed Well Child visit (if not cancelled 24 hours prior) | $100 |
| Missed Teen Well visit or Mental Health/ADHD/POTS appointment (if not cancelled 24 hours prior) | $125 |
| Missed Concussion/School Evaluation appointment (if not cancelled 24 hours prior) | $150 |
| Returned check | $25 |
| School/sports/daycare/camp form (waived if presented at time of well visit) | $75 |
| School/travel/employer letters | $150 |
| Transfer records out | $35 per patient, $70 max per family |
