Late Cancellation/Late Rescheduling and No-Show Fee Schedule

Payment is due at the time services are provided. If payment is declined or an outstanding balance remains, the responsible party must provide a valid form of payment and resolve the balance within 24 hours of notification.

Day 1 — Payment Due
Payment due at time of service.

Day 7 — +$25
First past-due fee applied.

Day 15 — +$25
Additional past-due fee applied.

Day 30 — +$25
Final additional past-due fee applied; account documented as delinquent.

Day 60 — Final Collections Warning
No additional late fee.

Day 90 — Collections / Account Review
No additional late fee. Unpaid balances may be referred to collections, and continued services with the practice may be reviewed.

Important: Continued nonpayment or failure to comply with the practice’s financial policies may result in restriction of non-emergency services and/or dismissal from the practice, as permitted by applicable law and professional requirements.

Bluebird Pediatrics reserves the right to pursue unpaid balances and take other appropriate action permitted by law. Payment of an outstanding balance does not waive previously assessed fees.