Office Information

Location

Our office is located at the Fort Road Medical Building, 360 Sherman Street, close to Childrens Hospitals and Clinics MN, just off 7th Ave in Saint Paul, MN.

Office Hours

Monday to Friday 8:30 am to 4:30 pm

After Hours

For urgent issues that cannot wait until the next business day, Dr. Gilles is available by phone from 4:30 pm – 7 pm weekdays.

Emergencies

  • Please call 911 for life-threatening emergencies
  • If your child is having an autonomic event or other neurologic symptoms and requires immediate help during work hours, but you do not feel you need to call 911, please call (651) 356-6080 and tell the staff what is happening. They will contact Dr. Gilles who will respond as soon as possible.
  • After working hours, if your child is having an autonomic event, follow your event protocol, and if the event persists cal 911 and obtain emergency care.

Forms

Forms for clinic visits can be found on the Plan your visit page. For new patients, please complete the office forms & the new patient questionnaire. These can be returned via fax (651) 356-8486 or mail. These must be completed before the visit can be scheduled. Outside medical records and imaging on discs must be received before the first visit.

Appointments

SCHEDULED APPOINTMENTS

Every patient is very important to Dr. Gilles and the staff at Child Neurology Solutions. All appointments are scheduled to accommodate patients and families as much as possible but also to give adequate time to address concerns and develop intervention plans. For this reason, new patient appointments are made after Dr. Gilles has reviewed what you and/or your child’s providers are concerned about and determined the urgency of the visit and if any additional testing is needed prior to the visit. For the same reasons, if your child needs a follow-up appointment that is not a regular follow-up appointment, we prefer to have you call the office to discuss your concerns.

PLEASE CALL (651) 356-6080 IF YOU NEED TO MAKE OR CHANGE AN APPOINTMENT.

Missed Appointments

If you call to cancel your appointment with less than 24 hours notice, or miss your appointment, you will be charged $30. The reason for this charge is that there are other patients who could have been scheduled in that slot who need care. This fee must be paid prior to the appointment being rescheduled.

When a patient has two (2) missed appointments, a reminder letter will be sent notifying the parents of this status.

It is practice policy that your child will no longer be seen at Child Neurology Solutions if there are 3 cancellations or no-show appointments in a twelve (12) consecutive month period, unless there are special circumstances. On failing to keep a third scheduled appointment, a certified letter will be sent indicating that three (3) scheduled appointments have been missed. Thirty (30) days after the date of the certified letter, the patient will no longer be able to receive medical care through this office. If this occurs, assistance will be given in transitioning your child’s care to another child neurologist in the Twin Cities will be given. Prescriptions will be refilled for one (1) month after the date of the letter.

Prescription Refills

Medical refills require authorization by your physician, who may not be in clinic all days of the week. Therefore, we require AT LEAST THREE (3) BUSINESS DAYS NOTICE for processing prescription refills. Please call your pharmacy to request refills. If you call us, we will ask you to call your pharmacy. If new prescriptions are needed, the pharmacy will send a refill request. There are some medications where your child will need to be seen regularly in order to give refills. REFILLS ARE NOT PROCESSED AFTER HOURS DURING THE WEEK, ON THE WEEKEND OR HOLIDAYS.

Cost of Visit

Your child’s initial visit will consist of a comprehensive evaluation and development of a written plan for workup and treatment, as well as school and emergency letters if needed. The cost will depend on the complexity of your child’s clinical problems and the duration of the visit.  If you desire more information, please contact the office. Co-pays and / or deductibles will be collected at the time of visit.  Please review our Financial Policies section below for more information on our billing practices.

Financial policies

As a courtesy, we will bill both your primary and secondary insurance companies. We will submit your claims and assist you in any way we reasonably can to help get your claims processed. In order to do this, we must receive all the information necessary to bill. If we do not receive your insurance information, you will be billed, and payment in full will be your responsibility and will be expected within 30 days of receipt of statement.  Your insurance coverage is a contract between you and the insurance company, and it is your responsibility to know your insurance benefits. We always recommend that you check with your health plan prior to receiving any medical services to assess your benefits and eligibility for coverage.

 

INSURANCE/MANAGED CARE

Many patients are enrolled in Managed Care Products. In order for us to obtain referrals and/or pre-authorizations for procedures, it is important that we have your current insurance information. Depending on individual policies, your procedure may not be a covered benefit. It is your responsibility to check for optimal coverage and policy limitations, and to obtain referrals as required by your insurance company. Please contact your insurance company with questions regarding your coverage.

 

ACCEPTED INSURANCE

  • Health Partners
  • Minnesota Medicaid
  • Wisconsin Medicaid
  • Humana
  • Blue Cross Blue Shield
  • Medica
  • Tricare
  • Multiplan

 

OUT-OF-NETWORK

During our initial months of business as Child Neurology Solutions, we are working with insurance companies to complete their credentialing process. Until that process is complete, some insurances will not accept claims from us. Therefore, if your insurance is one of those not yet complete, you will be responsible for filing your claim with your insurance. We will provide you with Medical Records and a completed HCFA form, as well a receipt for your payment.

 

MEDICARE

We are not currently participating in the Medicare program. You are responsible for our fee. We will provide you with an estimate of your financial responsibility for medical services.

We do, however, accept Minnesota Medicaid.

 

RESPONSIBILITY FOR PAYMENT

The guarantor of the account is responsible for payment of any co-payment, co-insurance, deductible or service not covered by your insurance, handling, collection or attorney fees. Co-pays are due at the time of visit. If you do not have insurance, you are responsible for payment of all services. Co-payments are due at the time of your service. Patient due balances noted on your monthly statement are due within 30 days of receipt. Charges for minor children will be billed to the parent with whom the child resides. We will bill appropriate insurance if all required information is provided. We will not bill or contact a non-custodial parent on behalf of the custodial parent.

 

DEPOSITS

New patients without insurance, or if insurance co-payment and coverage cannot be verified, are required to pay a deposit on or before the first date service. If insurance payment results in a credit balance, it will be refunded to your within 30 days.

 

COPAYS

Co-payment amounts are due on the day of your appointment and are to be paid when you check in. Payments can be made by cash, check, debit card or credit card.

 

PAYMENT OPTIONS

For your convenience, we accept VISA, MasterCard, American Express, Diners Club & Discover. Personal checks will only be accepted for insurance co-payments. Please make your check payable to Child Neurology Solutions, PLLC. There will be a charge for returned checks.

 

NON-PAYMENT

It is not our intention to cause undue hardship for our patients or their family, so please inform us of any financial situation that will make it difficult to pay your balance.

Failure to pay will result in your account being referred to a collection agency, which may affect your credit. You must contact our business analyst to discuss payment arrangements (770) 745-1070. Non-sufficient fund checks will result in a $25 processing fee.

 

STATEMENTS

After your insurance company has processed your claim, you will receive a statement from us for the unpaid balance. Your payment is due within 30 days of the statement date. We understand that financial circumstances vary from patient to patient. If you are unable to pay your patient due balance in full, you must call our business office at (770) 745-1070 to make payment arrangements. We offer uninsured patients a 10% discount for payment of office visit by cash, check, or credit card received on the date of service. Accounts with a patient due balance outstanding over 90 days will be charge finance charges of 18%.