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We are doing everything possible to hold down the cost of medical care. You can help a great deal by reducing the number of bills we send to you. The following is a summary of our payment policy.

All payment is due at time of service unless prior arrangements have been made.

Payment is required at the time services are rendered unless other arrangements have been made in advance. This includes applicable coinsurance and co-payments for participating insurance companies. Our insurance contracts do not allow us to waive co-payments. We follow the American Academy of Pediatrics’ recommendations for scheduled preventive care. You are responsible for knowing your coverage and benefits; our recommendation for treatment does not constitute a guarantee of coverage. Appointments after 5:00pm or on weekends or holidays are subject to a small additional charge that may or may not be paid by your insurance.

Payment Method

Childhood Health Associates of Salem accepts cash, personal checks (in-state only), money orders, VISA, and MasterCard. Payments can also be made online via our secure patient portal once an online account is created.

Returned Checks

All returned checks will be assessed a $25.00 service fee.

Outstanding Balances

Patients with a balance 60 days or more overdue must make arrangements for payment prior to scheduling appointments. We realize that financial difficulty is a reality thus we will be happy to set up an interest free payment plan with you for outstanding balances; our Billing department will determine the payment amount based on your outstanding balance. We will continue to provide medical services as long as timely payments continue to be made on the payment plan that meet the minimum amount that we have determined. Accounts showing inadequate progress for 90 days will be sent to a collections agency and we will then only be able to provide services for your child with cash or a valid credit card at time of payment. Patients of accounts that have been sent to collections for a second time will be terminated from the practice and notified by letter of this measure.


Updating information

You are responsible to inform us of updated and accurate insurance information for us to properly bill insurance on your behalf. Insurance information must be updated for each patient in the family as each patient has a separate account.

Primary Insurance

We bill participating insurance companies as a courtesy to you. You are required to pay your co-payments at the time of service. If we have not received payment from your insurance company within 45 days of the date of service, you may be expected to pay the balance in full. You are responsible to be sure all charges are paid, whether by you or by your insurance carrier.

Secondary Insurance

We do bill secondary insurance companies with whom we have a current contract. While we contract with most area insurance plans, there exists no mechanism for us to bill plans with whom we do not contract. You will be asked to sign a waiver agreeing to payment of accrued charges if your child has a non-contracted insurance as secondary insurance.

Special Circumstances

Patients involved in a motor vehicle accident or similar situation should provide information regarding the responsible insurance so that we may bill that insurance as a courtesy. We will need the insurance name, mailing address, phone number, and the claim number in order to provider this service. Failure to submit this information to us prior to the office visit may result in charges to the patient’s account.

Self Pay

Patients not covered by insurance are considered “self pay” and are required to make a minimum payment on their account at the time of service unless other arrangements have been made. If you are not covered by insurance, please contact our billing department as soon as possible to make arrangements for a payment plan.  Discounts for essential services are offered to uninsured patients depending on family size and income. Uninsured patients may apply for a discount by inquiring at the front desk or by speaking with our Billing department. Discounts must be approved prior to services in order to receive the discount.

If you need assistance or have questions, please contact our billing office between 8:30 a.m. and 4:00 p.m., Monday through Friday at 503-364-0227.


Patient/guarantor credits in amounts less than $20.00 will be retained on account to be credited toward future balances unless a written request for refund is received. Amounts $20.00 and greater will automatically be refunded to the patient/guarantor.

Missed Appointments/Late Cancellations

Broken appointments represent a cost to us, to you and to to other patients who could have been seen in the time set aside for you. Cancellations are requested 24 hours prior to the appointment. Three(3) or more missed appointments without at least one hours’ notice to our staff may result in discharge from the practice.