The checkout counter with a painting of a frog

Office Policies


Thank you for choosing Greenville Pediatric Services, Inc. to provide care for your child. We are committed in providing quality care for your children. We have developed a financial policy that will help answer any questions you may have regarding your payment and insurance responsibility for services rendered.

Insurance Participation

A mother and her baby son at the front desk

We participate with most insurance companies and accept Medicaid. It is your responsibility to verify that we are in network with your particular carrier.

Eligibility Information

Our front desk and insurance staff will attempt to access eligibility, co-pay, co-insurance, and deductible information prior to your arrival. We will also ask to verify your insurance and scan your insurance card upon arrival to our office. If you do not have current insurance information and we cannot verify insurance eligibility, you will be required to pay for services rendered until you provide proof of coverage. We also encourage that each family call and find out their specific benefits for their policy. It is beneficial to understand your own insurance coverage.

Non-Covered Services

It will be the responsibility of the family to know your benefits. You will be responsible for non-covered services. Some common non-covered services may be developmental screenings, MCHAT, vision and hearing screen.

Claims Filing

We will file claims for those insurances, which we are contracted, as well as secondary insurance. Once we have received payment from your insurance company, you will receive a bill for any outstanding balance. You will then be responsible for that balance. Payment is expected within 10 days of billing statement. We accept most major credit cards and cash.


A toddler and her baby doll

Many plans require that a patient pay a co-payment at each visit. We are bound by the contracts with your insurance company to collect the co-pay at the time of service. We will collect your co-pay when you check in.

Co-insurance and Deductibles

If you have not met your deductible or have co-insurance, we will collect the amount due at the time of service. These amounts are collected based on the negotiated fee schedule with your insurance company.

Keep Us Informed

Most often errors in billing and claims payment are related to incorrect information. Please update us with the policyholder’s name, address, phone number, and any insurance changes.


We accept Cash, Visa, MasterCard, and Discover cards. All payments for the service are due on the day the service is provided, unless other arrangements are made with the billing office. Any remaining balances or past due amounts will be collected at check-in.


A girl does an optometry test

Due to many complicated issues that arise due to custody and payment issues, it is our office policy that the payment is expected by the parent bringing the child to the appointment. The parents then can work out an agreement of repayment amongst themselves.

Proof of Identity

All patients must complete our patient information sheet prior to seeing a provider. You must provide a current copy of your insurance card as well as a photo ID that we will keep on file.

Patient Refunds

Refunds will be reviewed on a per claim basis. Upon confirmation and approval of refund, a check will be issued to the account holder.

Past Due Accounts

When your account becomes past due we will take the necessary steps to collect this debt, including the use of a collection agency. Should this occur we will be forced to terminate you from the practice.

Our office will do whatever we can to assist you. If you have any questions or problems, please do not hesitate to contact our office at 252-752-7141, Monday through Friday 8:00 to 5:00pm. Our front desk staff will gladly direct you to the appropriate staff member.


A doctor checks a boys mouth

Greenville Pediatric Services is committed to protecting your child's personal health information as provided by the Health Insurance Portability and Accountability Act (HIPAA). HIPAA requires us to give you notice of our privacy practices, our legal duties, and your rights concerning your protected health information.

PDF Notice of Privacy Practices


If you are late for your sick appointment you will be worked in at the next available appointment time with any available provider. If you are late for your well child appointment, we will make every effort to work you in if our schedule allows. There may be times when we will need to reschedule for another day. Please give the office 24 hours advance notice of cancellations so that we may offer that appointment to another patient. No shows for well child appointments may result in a $75 no-show charge. Patients who no show a double well child appointment (two children at the same time) will be restricted from scheduling double appointments in the future. Excessive no shows may lead to termination from the practice.


A baby is being examined

At Greenville Pediatric Services, Inc. we understand there are circumstances that may prevent a parent or guardian from coming to an appointment with a child who is under the age of 18. Our Permission to See Policy provides guidance for when this situation occurs.

If your child is under the age of 16 we require a parent or guardian be present. If the parent or guardian is unable to accompany the child they must be accompanied by an authorized adult. A parent or guardian may authorize an adult by listing them on the Patient Information Sheet or by completing the Permission to See Form

PDF Patient Information Sheet
PDF Permission to See Form

If your child is 16 and older a parent or guardian does not need to be present, but Permission to See Form must be completed.

If your child aged 16 to 18 will receive immunizations the parent or guardian must complete the Immunization Consent form prior to visit. The patient must remain in the office for 15 minutes after receiving immunizations. The parent or guardian must be available to be contacted by phone by provider if needed.

If we do not have an authorization on file, and parent cannot be reached, we will be unable to see your child. For any additional questions, please contact any of our three locations.

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