Billing
We understand that insurance and medical billing can be confusing, frustrating, and sometimes even surprising. We strive to provide a positive and transparent patient experience and are here to help. POP Now outsources our billing to Apparent, LLC. If you have a billing inquiry and would like to speak to a team member, please call (240) 996-5060 or email us at billing@apparentmanagement.com
If you get a voicemail during business hours please know that they are either on the phone with an insurance company or assisting another customer.. Please leave a detailed voicemail or send us a detailed email of your questions and/or concerns. Providing detailed information allows their team to research your concern and solutions for them prior to returning your call. We have found that this results in less phone calls, shorter call times, and a more positive patient experience.
Primary Care Patients of Potomac Pediatrics- Please click here to review insurances we accept.
Insurances We Accept for Community Patients: PPO & POS Plans Only
- Aetna – PPO
- Allegeant
- Carefirst (Blue Cross Blue Shield)- PPO
- CareFirst Administrators
- Cigna – PPO (APWU, Great West, Samba, Significa)
- Cigna Care Network- 2nd tier benefits apply
- Coresource- (Aetna and Cigna Network Only)
- GEHA
- Golden Rule- (United HealthCare Network Only)
- John’s Hopkins EHP
- Medica
- Multiplan
- NCAS
- PHCS
- UMR
- United HealthCare Choice Plus – MDIPA, Optimum Choice
- United Integrated
- United Oxford
- US Family Healthplan
- Tricare Standard, Reserve Select, Retired Reserve, TYA Standard – (All Tricare plans will be processed through Out of Network benefits)
- Trustmark- (Aetna network)
Insurances We Do Not Accept:
- Any form of Maryland Medical Assistance programs (This includes but is not limited to: Amerigroup, Kaiser, Maryland Physicians Care, MedStar, Priority Partners, and United HealthCare MCO)
- Beech Street PPO (Processed through Out-of-Network benefits)
- Coventry- PPO Only (Processed through Out-of-Network benefits)
- Humana
- Kaiser Permanente
- Travel Insurances
- Tricare Prime (Self pay only! No Out-of-Network benefits available)
- United HealthCare Compass, Core Essential, and Navigate (including plans offered by Maryland Health Exchange)
HMO Insurance Notice (Applicable to Community Patients only)
Community patients with an HMO plan must either be self-pay or provide a referral from their PCP prior to being seen. As a courtesy for the first visit, the patient may elect to be self-pay at the time of service and provide a referral after the visit. The referral must be provided within 7 days of the office visit. Referrals should be sent to billing@apparentmgmt.com. A refund will be processed back to the patient once the claim has been processed by the insurance company. The refund amount will be determined based on the amount of patient responsibility allocated on the claim.
If your insurance plan does not appear on the list above, or you want to confirm that we do participate with your insurance policy, you may contact your insurance carrier to verify in-network status.
We cannot guarantee payment from any insurance policy. It is the policyholders’ responsibility to verify if their insurance is in-network with Potomac Pediatrics (who POP NOW bills under). If we do not participate in your plan you may still be seen in our office; however, you will be required to pay fee-for-service at the time the services are rendered. While we do not submit claims to out of network insurance companies, we are able to provide necessary documentation should you wish to submit for reimbursement.
Please note it is the patients’ responsibility to verify in-network benefits
