Office Policies

Sumner Pediatrics has put in place strict rules and policies to protect you, the customers.


Many insurances require a co-pay at the time of service.

Please Bring Your Insurance Card

Sumner Pediatrics accepts most major insurance, including TennCare. A claim will be submitted to all primary and secondary insurances.  Please remember to bring your current insurance cards to your appointment.  Once your insurance company has processed your claim, an invoice will be sent to you for the remaining balance.  Payments are expected upon receipt of your statement.  We accept Visa, MasterCard, Discover, American Express, Cash, Checks, Debit Cards and Money Orders.

If You Are Uninsured

If you are uninsured, or if we are unable to verify coverage, we require a payment based on a sliding fee scale (with a 15% discount).

Unpaid Accounts

We assign all unpaid accounts to an outside collection agency that reports to a national credit bureau.  They will add additional penalties and interests to the unpaid amount.

Following Guidelines

Physicians must follow accepted national guidelines when determining what your charges (level of service) will be. They must code your visit based upon what services were provided and cannot take into account particular health plan benefit designs.  Consequently, we are unable to switch the visit reason and diagnosis in order for a claim to be covered by your insurance.  If you think there is an error on your account, please contact the billing office immediately.  We will review your concern with the physician and let you know of the outcome.


You should contact your insurance company as soon as possible after your child has been born.  Most health plans allow 30 days to add your newborn to your insurance plan. If you have Medicaid, you MUST contact Tenncare immediately and apply for the baby's own insurance. If you are unable to provide proof of insurance after your baby’s two week appointment, we will charge you in full for services rendered.

Privacy Policy (HIPAA)

Read Privacy Policy document (PDF)