Raleigh Office

(919) 872-0250

Garner Office

(919) 779-6423

After Hours

(919) 831-5394

Insurance and Billing

Insurance and Billing

By contracting with these companies, Raleigh Pediatrics has agreed to file insurance for patients who participate in these plans. In order to do so, we must see your child’s insurance card at each visit and if you participate in a managed care program, one of our physicians’ names must appear on the card. If you do not have the necessary information and we are unable to verify your coverage, we must ask for payment at the time of the visit.

We collect all co-payments at the time services are rendered and file insurance on a daily basis. A monthly statement will be sent to you detailing unpaid charges. If you have questions regarding items which have not been paid by your insurance, we ask that you contact your insurance company or employer as benefit packages vary by employer.

  • Aetna Healthcare, including Aetna Whole Health and Aetna NC Preferred
  • Blue Cross Blue Shield, including Blue Value – EXCEPTION: Not participating with BCBS Local Carolina Healthcare
  • Cigna Healthcare
    • CIGNA EXCEPTION: Raleigh Pediatrics does NOT participate with Cigna Indemnity plans or Cigna Connect.  If you have one of those plans and choose to come to Raleigh Pediatrics, your account will be considered Self Pay.  You must pay in full at the time of service and file your own insurance.  No contractual adjustments will be made to these accounts.
  • MedCost PPO
  • Medicaid  / Carolina Access / NC Healthchoice*
    • Only accepting Patients who meet the following qualifications
      • New patients TWO months of age and  younger
      • *Established patients and **their siblings
  • United Healthcare
*A patient is considered established only if they have been seen by one of our physicians in the last 3 years and have not transferred out of the practice. 
** Siblings include Adopted, Foster and Legal Guardianship 

Please check the Financial Policy for the exceptions and additional insurance information.

Make a payment here.

Routine Screening Tools:

The physicians of Raleigh Pediatrics perform comprehensive well exams on their patients following the Bright Futures (American Academy of Pediatrics) recommendations.  These recommendations include timing of the exams along with appropriate testing, screening and lab work.  It is possible that some portion of the exam may not be covered or may be applied to a deductible by your insurance company and then would be your responsibility.  While we are sensitive to costs, we believe all of these screenings are necessary to provide the best care for your children.

Examples of routine screening tools used at well visits include

General Screenings: Vision, Hearing, TB screen, Lead Screen

Developmental screening tools: M-Chat – Autism screening tool (routinely done at 18 months and 2 years), PEDS Response – Parent evaluation of development status (at intervals between 6 months – 5 years)

Behavioral and Psychosocial screening tools: EPDS – Edinburgh Postpartum Depression Screening (routinely done at 1 month, 2 month, 4 month and 6 month well exam), RAAPS – Rapid Adolescent Assessment for Preventative Services done annually 11 years through 22 years

What's New?
Raleigh Pediatrics is hosting a Food and Funds drive with the Food Bank of Central and Eastern North Carolina from November 25, 2019 through December 17, 2019 read more
NC Department of Health and Human Services announced that because the NC General Assembly did not take needed action, Managed Care implementation and open enrollment for NC Medicaid has been suspended.  All patients who are currently covered by Medicaid and NC Healthchoice will continue read more
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