Billing and Insurance

Financial Policy

A  well-child visit is an opportunity to check in on your little one’s health and development. Cool Springs Internal Medicine & Pediatrics, PLLC, has a team of professionals who offer comprehensive consultations and exams to ensure your child is reaching critical developmental milestones and is fit and healthy. During the consultation, your provider will talk about your child’s:

  • Diet and nutrition
  • Sleep needs
  • Developmental milestones
  • Behavioral development
  • Medication
  • Vaccinations

Additionally, your specialized physician can also provide advice on child-proofing your home and playground safety.

To Discuss a Bill

Please call 800-289-9545 to reach our Billing Office staff. Billing office hours are 8 am–5 pm, Monday–Thursday.

Insurances

Please remember to bring your insurance card with you to every visit, including visits for laboratory work only. If you do not bring your insurance card with you, you may be asked to reschedule your appointment.

Cool Springs Internal Medicine & Pediatrics, PLLC, is under contract with a variety of insurance companies. It is the patient’s responsibility to check with your insurance company to make sure we participate in your particular plan. Moreover, it is also the patient’s responsibility to notify us immediately regarding changes in your insurance coverage.

We accept most insurance plans. Please check with your insurance company prior to your visit to verify we are in your network.

Commercial Plans
2
3

Aetna Aetna Open Choice, Traditional Choice, Managed Choice, Elect Choice, Aetna PPO and POS
BlueCross BlueShield of Tennessee¹ Blue Network P and Blue Network S
¹ BlueCross BlueShield of Tennessee, Inc. is an independent Licensee of the BlueCross BlueShield Association.
CIGNA CIGNA HMO, POS, PPO, EPO, Open Access Plus Network, Network POS, Network Open Access and POS Open Access, GWH-CIGNA, PPO and Open Access, CIGNA Partnership PPO, CIGNA Standard PPO, and CIGNA LocalPlus
Humana Humana HMO, Humana NPOS, Humana PPO, Humana ChoiceCare PPO, and Humana Choice POS
MultiPlan PHCS Network, MultiPlan Network
TRICARE (formerly Champus) TRICARE Standard, TRICARE Prime and TRICARE-for-Life
UnitedHealthcare UnitedHealthcare PPO, HMO, POS, Select Plus, Heritage Choice, Heritage Select and Heritage Plus
Other Beech Street, First Health, Coventry Health Plan and Mail Handlers Benefit Plan, Point Comfort Underwriters, One Health, USA Select and USA Accountable Alliance, NovaNet, East Tennessee Health Plan

Marketplace Plans
2
3

BlueCross BlueShield of Tennessee Blue Network S
Centene Ambetter of Tennessee
CIGNA CIGNA Connect
United Healthcare* Individual Exchange Benefit Plans*

Medicare Plans
2
3

BlueCare Plus Tennessee (HMO D-SNP)SM, BlueCare Plus Choice (HMO D-SNP), BlueCare Plus Select (HMO D-SNP), BlueAdvantage (PPO)SM Ruby, Emerald, Sapphire, Diamond, and Freedom,
Humana Humana Gold Plus HMO, HMO (D-SNP), HumanaChoice PPO, and Humana Honor Plans
Medicare Original Medicare Program (Including all supplement plans)
United Healthcare UnitedHealthcare Dual Complete HMO (D-SNP)
All others currently accepted ONLY at IMA of Etowah, Athens Medical Group, Internal Medicine & Pediatrics - North Franklin and Cool Springs locations, Goodlettsville Pediatrics, Family Medicine Center - Cleveland, and SMG of Cookeville.

Insurence Plans Not Accepted
2
3

Cigna Medicare All Plans
Amerivantage All Plans
Wellcare All Plans
BCBS of TN Blue Networks L & E

(* Plan is not available in the Greeneville area)

Tests and Laboratory Procedures

Some diagnostic tests can be performed in the lab at our office. It is important to note that you will be billed separately for these services from the laboratory company itself. 

If you are not sure if tests will be covered by your insurance, please contact your insurer’s customer service representative for clarification. This is the patient’s responsibility.

Right to Privacy

Cool Springs Internal Medicine & Pediatrics, PLLC, takes your legal right to privacy seriously. In order to keep with the laws of HIPAA, we will not release your records or information about your care to anyone other than those you specify.

Your Medical Records

If you need to have your records released to another physician, you are required to fill out a medical release form first.