Sapphire Pediatrics - Expert, Compassionate, State-Of-The-Art Care For Your Children
Office Policies
Welcome to Sapphire Pediatrics!  We provide compassionate, state-of-the-art, individualized care to each of our patients.  We pride ourselves in knowing our patients personally and taking the time to answer all your questions in order to provide the best possible care for your child.  In order to keep our practice running smoothly, we ask that you please read and follow the guidelines below.
Well Visits:
Well child visits (physicals) are scheduled in advance according to the doctor’s availability.  Please call 4 weeks in advance for your appointment, as this ensures your choice of day and time will be available.  Well visits after age 2 years must be 365 days apart as specified by all insurance plans. 
Sapphire Pediatrics follows the American Academy of Pediatrics guidelines for frequency of well child visits and immunizations.  Routine well visits and immunizations are recommended for every child; if you have reservations about immunizations please speak to a provider to make an informed decision.
A parent should accompany the child to all well visits; this allows us to provide the best and most complete care to your child.  Please schedule this visit for a date that one or both parents can attend.
Sick Visits:
All visits require appointments.  Please call before coming in to the office.  By calling our office first, we can see all our patients in a timely fashion based on their medical needs, or refer you to the emergency department if necessary.  We can almost always see sick visits on a same-day basis.  Please call as early in the day as possible so we may schedule your child as time permits.
Patients who “walk-in” without an appointment may be seen when time permits.  This policy maintains fairness to patients who have scheduled in advance, and keeps our waiting room time to a minimum.
If more than one of your children needs to be seen, please schedule appointments for each of them.  This assures that the proper time is allotted each child for a complete evaluation.
While we prefer that parents bring the child for all visits, caretakers may bring the child in for an urgent appointment with written consent for treatment from a parent. 
Arrival Time:
Please arrive at our office at least 15 minutes in advance of your appointment.  Your appointment time is scheduled for the physician, and does not include the time required to confirm insurance and fill out necessary paperwork. 
If you are late for an appointment, we may need to reschedule you so that other patients may be seen on time.  Please give 24 hours notice to cancel a well visit.  A $25 fee is charged for missed visits.
Phone Calls, Questions, and Prescription Refills:
For emergencies 24 hrs a day:  if you feel your child is having a life-threatening emergency, please call 911 or proceed to the nearest emergency department.
During office hoursSapphire Pediatrics has office staff dedicated to answering telephone calls.  Please leave a message in our “triage” mailbox and your call will be returned promptly.  Please have a pharmacy number at hand in case a prescription is necessary.
During off- hours:  Please save routine questions (refills, medication questions, appointments, etc) for daytime hours.  These questions will not be addressed after hours.  For emergency sick calls, call our main number (720-941-1778) and your information will be taken by our answering service  and forwarded to a provider on-call.  Please respect our on-call schedule and do not request a provider who is not available.  Your call will be returned within 30 minutes.  As our providers return calls from a blocked number,  please disable any call-bl0cking by pressing *87 after disconnecting with the answering service.  This will disable your block for the next incoming call only.
While we are dedicated to you and your children’s health and aim to serve you in every way, telephone calls after hours, especially after 10 pm, are very costly for our office.  Please respect our request to use this service only for emergencies.
Medical Records:
We keep electronic medical records in our office.  You will be able to view a portion of your child’s records online if you choose to web-enable your child’s account.
If you are transferring care from another office, please provide us with complete medical records before or at your first visit.  If for some reason this is not possible, please sign a release of information at your first visit so we may obtain the records for you.  This ensures that we can evaluate your child appropriately. 
If you need your child’s medical record, shot record, or health forms completed for another provider, a move, or school, please plan for 7-10 days service time.  Your child’s medical summary and vaccine record are available for you to print yourself anytime from our patient portal.  Self-printed documents will not have a provider’s signature.
Insurance, Billing, and Payment:
We bill your insurance as a courtesy to you. Any fees not covered by your plan are your financial responsibility.  The insurance plan you have chosen determines what portion of your child’s charges will be your responsibility.  Please know the details of your plan.
Payment for self-pay and non-covered services, co-pays, deductibles, and co-insurances are due at the time of the visit.  We accept debit cards, Visa, Mastercard, Discover, and American Express.  Personal checks (with ID) and cash are always welcome.  We encourage you to keep your credit card on file with us so that outstanding charges may be settled automatically.
On a case-by-case basis, families with significant financial hardship may request a payment plan through our billing company to handle larger balances.
Please assist us in billing your insurance in the following ways:
Newborns must be enrolled with your insurance immediately after birth.  If not enrolled by the 30 days of age, your newborns visits and/or shots may not be covered by your insurance.
Any co-payments required by your insurance are due at the time of service.  A $10 billing fee is charged if you cannot pay your deductible at the time of service.
Bring your child’s insurance card to every visit.  This allows us to verify your insurance coverage to be sure the day’s services will be covered. 
Notify us immediately of a change in insurance.
Select us as your child’s PCP (primary care physician). If your insurance requires you to select a PCP, you must select Dr. R. Larabee.  If another physician’s name appears on your card, your care may not be covered.
If your child has Medicaid insurance: you must call your technician or visit your county’s social service office immediately after the baby’s birth.  We accept only “PCP Medicaid” and “Straight Medicaid”, not Medicaid HMO’s.  We will have you sign a document in the office to help avoid passive enrollment in Medicaid HMO’s like Denver Health Medicaid Choice.
Thank you for understanding and adhering to our policies!