Insurance & Billing

We Accept Most Insurance Carriers

Pediatric Care North accepts most major insurance plans.


Please have your card with you at the time of your visit. If we file your claim, you are responsible for only the co-pay at the time of visit. If we are not a provider for your insurance, if you are not insured or we do not file with your insurance company, you may be responsible for the entire charge at the time of service.

Insurance Plans We Accept

  • ACA MARKETPLACE PLANS (Gold, Silver, Bronze)

    In-Network:

    • Anthem BCBS - Pathway & Pathway X
    • BlueKC - BlueSelect Plus, Preferred Care Blue
    • BCBS Kansas - BlueChoice
    • Medica - Balance by Medica, Medica with MU HealthCare, & Select by Medica


    Out-of-Network:

    • Ambetter
    • BlueKC - BlueMetro, BlueSelect
    • CoxHealth Network EPO Exchange
    • Oscar Health
    • United Healthcare ACA Exchange
    • Wellfirst by Medica
  • COMMERCIAL PLANS

    In-Network:

    • Aetna - CareLink, CVS Caremark, Meritain
    • American Healthcare Alliance
    • Anthem BCBS of Missouri 
    • Anthem Alliance Options PPO
    • BCBS of Kansas
    • BlueKC - BlueSelect Plus, High Performance Network, Freedom Network, Freedom Network Select, Preferred Care, Preferred Care Blue, Preferred Health Professionals
    • Cigna - SureFit, Great-West Healthcare, HealthPartners, LocalPlus, LocalPlusIN, MVP Health Care, Network Open Access, Open Access Plus, PriorityHealth, Tufts Health Plan
    • Centivo Network
    • Centrus Health Direct (HCH Sync Centrus)
    • CoxHealth Network
    • CoxHealth Plans (utilizing First Health Network)
    • FAIROS (powered by OccuNet)
    • First Health Network (excluding all health and cost-sharing ministries)
    • GEHA (utilizing UHC network)
    • HealthLink HMO & Open Access
    • HealthLink PPO (utilizing Freedom Network)
    • Mercy Health Springfield Communities
    • MultiPlan/Claritev (excluding all health and cost sharing ministries)
    • National Preferred Provider Network (NPPN)
    • PHCS (excluding all health and cost sharing ministries)
    • ProviDRs Care (formerly WPPA)
    • QuikTrip
    • United Healthcare (UHC) - All Savers, Surest (limited benefit coverage), UHC Core Essential, UHC Choice & Choice Plus, UHC Navigate, UHC NexusACO, UHC Options, UHC Select, UMR
    • USA Managed Care Organization
    • Wachter
    • WellFit Health

    Out-of-Network

    • Anthem Blue Access PPO
    • BlueKC - Blue Access, Blue Select
    • CommunityCare
    • Health Choice of Oklahoma 
    • Kaiser Permanente
    • PHCS Practitioners Only
    • Preferred CommunityChoice
    • Prime Health Services (PHS)
    • TheraMatrix
    • United Healthcare (UHC) - Custom Network Plan, Deere Premier
    • Vālenz Health
  • FEDERAL PLANS

    In-Network: 


    *Medicaid & Managed Medicaid plans are not accepted in our office at this time.*

Billing FAQs
  • CO-PAYMENTS AND DEDUCTIBLES

    All co-payments and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud. Please help us in upholding the law by paying your co-payment at each visit.

  • PROOF OF INSURANCE

    We must obtain a copy of your driver’s license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim.

  • CLAIMS SUBMISSION

    We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

  • COVERAGE CHANGES

    If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.

  • PAYMENT OPTIONS

    Pediatric Care North accepts cash, personal checks, credit cards (Visa, Master Card, Discover and American Express). We also offer a flexible payment plan. Please see our Financial Coordinator for details. We are happy to file insurance for your reimbursement as long as you are free to choose your own pediatrician.

  • NON-PAYMENT

    Unless arrangements have been made with our billing office, all accounts are to be paid within 60 days. Patients with an outstanding balance more than 90 days overdue MUST make arrangements for payment PRIOR to scheduling appointments. We realize that financial difficulty is a reality, therefore our Billing Department is available to assist you Monday through Friday 8:00 am - 4:30 pm. The direct phone number for our billing/insurance office is 816-587-3341.