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 with 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 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 – EXCEPTION: Not participating with Cigna Connect
  • Coventry Health Care of the Carolinas
  • NC HealthChoice
  • MedCost Preferred Care
  • Medicaid  (Exceptions under “Financial Policy“)
  • United Healthcare

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?
We are currently scheduling Flu Vaccine Clinic Appointments in both locations.   We are administering preservative free injectable flu vaccine this year.  (flu shots) There are several options for flu clinic appointments through the month of October, including weekday and weekend availability. * read more
This announcement is for existing Raleigh Pediatrics patients who are currently enrolled in NC Medicaid and NC Healthchoice. (**Updated 9/4/2019) Raleigh Pediatrics is participating with two of the new Medicaid Managed Care plans: WellCare of North Carolina and United Healthcare Community Pl read more
Patient Portal