Insurance & Billing

Northern Virginia Pediatric Associates participates with the insurance companies listed below*. If you do not see your insurance company on our list, please call them directly to verify participation. We ask that you pay your co-pay at the time of service. Please verify your insurance information and contact information at each time of service. Any updates or changes in insurance or contact information should be communicated to our insurance department as soon as they occur to prevent filing and billing errors. We do not have family accounts. Please be sure to communicate updates for each child individually. We file primary insurance only; the participant should file any secondary insurance.

*In order to keep unnecessary billing costs to a minimum, co-pays, administrative costs (school/camp/sports forms, schedule II refills, transfer of records, etc.) and lab fees are due at the time of service. Balances billed for non-payment at the time of service will be charged a $10.00 fee to cover billing costs. In addition, to also cover billing costs, multiple billings for balances not paid within the first billing cycle will also incur a $10.00 fee per billing cycle.

We contract with numerous insurance companies and it is impossible for us to know the requirements of each individual policy. It is your responsibility to know the coverage benefits and limitations of your insurance contract. Your insurance company may not cover certain tests and or procedures. Please be particularly aware of your well visit coverage. Your insurance company may limit the number of well visits allowed in a calendar year. Please also note that immunizations, including the flu vaccination, can only be coded as V codes and may be considered a well visit by certain insurance companies. Should you have any questions regarding your insurance contract, please contact your insurance company directly.

Aetna Health Plans (PPO, POS, HMO, MC, MCII, EPO)
Alliance/MAMSI Network (PPO)
Anthem PPO
Beech Street
CareFirst Blue Choice (HMO)
CareFirst FEP
CareFirst PPO
Cigna of the Mid Atlantic (We do not participate with Cigna Connect or Cigna via the Marketplace)
First Health (PPO)
Great West PPO, POS and One Plan Open Access
Guardian (If we participate with the network; for example: PHCS/ALLIANCE)
Humana PPO (CCN)
Mail Handlers Benefit Plan
Multi-Plan Network (PPO)
• National Capital PPO
Optimum Choice / MDIPA HMO (Panels are closed to new patients)
PHCS / Private Healthcare Systems
Tricare Standard
Unicare (PPO)
United Healthcare

Billing statements are mailed out monthly from our billing agency. Our billing office is available Monday through Friday from 8:00 am to 4:00 pm. The phone number is 703-532-4446 ext 351. Our knowledgeable staff will be happy to address any questions or concerns you may have regarding your account or our financial policy. Should you have questions regarding your insurance coverage, please contact your insurance company directly.

*We DO NOT participate with Cigna Connect, Kaiser HMO, Tricare Prime**, or any Medicaid Product

** We do participate with US Family Health Plan under Tricare Prime.