Are We a Good Fit

What Sets IPHC Apart?  Why Choose Us?

Integrative Pediatric Health Care (IPHC) is a Nurse Practitioner owned and operated practice. We do not have Medical Doctors (MDs) in our office, as we set out to create an Advanced Practice Nursing Care model which differs from traditional allopathic models (medical or disease/curative focused clinics). IPHC NPs focus on education, health promotion, and developing trusting-caring relationships between clients and providers. Our NPs are held to the Standards of Advanced Nursing Practice and hold National Board Certifications for Pediatric Nurse Practitioners in Primary Care (CPNP-PC) and Advanced Practice Holistic Nursing (APHN-BC). Clients can expect expansive expertise and care that is well suited to meet the various needs of children in a Primary Care setting. There is no limitation of Advance Practice Nurses’ scope of practice in Colorado related to Primary Care; therefore, clients should expect the same expert care a physician/pediatrician would provide but with a unique holistic philosophy that we believe is unique Nurses and Nursing.

IPHC is designed with care, privacy, comfort and efficiency in mind. Our office is set-up differently than most Pediatrician offices, with the intention to create a private, safe, healing, and kid-friendly place. Our rooms are spacious, clean, and allow for the comfort of breastfeeding mothers, confidential conversations, and a sense of feeling at home. We make a concerted effort to keep sick and well children separated for the safety and health of all of our clientele by not having a waiting room, and by efficiently rooming our clients and keeping “well rooms” and “sick rooms”. You’ll enjoy longer contact time with your NP during the visit than is typical with a Pediatrician. This extra time allows for questions, discovery, and whatever may come up.

Vaccines

IPHC recommends and follows the CDC vaccine schedule endorsed by the AAP. Our policies have been updated January 2022, and IPHC no longer registers or accepts clients into practice who do not intend to immunize according to the CDC schedule. We do not endorse or recommend alternative schedules of vaccines, although we are open to discuss these topics with parents prior to making a decision to attend IPHC. If agreements cannot be made about vaccinating according to an agreed upon schedule, clients will be asked to find another PCP.

What is Holistic/Integrative Health Care?

Holistic and Integrative does not mean anti-medicine, anti-vaccine, or pseudoscience. Holism is a whole person approach to healing and health and honors the interconnectedness of all beings and their environment. It can also be considered an attitude, philosophy or way of being or doing. IPHC offers a variety of care modalities that may include complementary treatment suggestions during your visits. If this does not interest you, there is no pressure to utilize them. If it does interest you, please let us know! Read more about Integrative HealthCare here.

Vitamin K for Newborns

Newborns planning to establish care at IPHC should know that our practice REQUIRES administration of intramuscular vitamin K at birth to reduce the possibility of early or late Vitamin K deficiency related bleeds (VKDB). Our NPs do not find credible evidence that oral Vitamin K is an alternative to injectable forms. Those who wish to choose IPHC for pediatric care who did not receive a birth dose of vitamin K will not be accepted in to practice until the window of VKDB has passed (6 months). This includes siblings of current clients. If you have questions about this, please ask our NPs prior to your 1st visit.

Antibiotics

IPHC supports appropriate and judicious use of antibiotics, as antimicrobial resistance and antibiotic overuse is a pertinent health care issue today. IPHC NPs use evidence-informed practice including guidelines, local resistance patterns, and complete exam (which may include swabs/cultures). NPs will prescribe an antibiotic if and when appropriate for bacterial infections, along with discussion of risk/benefit. We advise probiotics when appropriate.

Medical Home

IPHC NPs are strongly driven to provide comprehensive, holistic health care and serve as your Pediatric Primary Care home. To that end, we expect that you contact our office FIRST before seeking specialty care, seeking second opinions, or utilizing urgent care/ERs. Our goal is accommodating care in our office when appropriate or referring you to the most appropriate specialist and helping with care coordination. Whenever you do see a specialist, we ask that you request a report be sent directly to our office so we may stay informed and have the most up-to-date information in your medical record (including ERs). IPHC is not a consultatory or second opinion clinic. We do not support clients having more than one Pediatrician office as it is a safety and continuity of care issue.

Technology

IPHC prides itself on efficiency and environmental sustainability through use of technology. You will be expected to consult our website and effectively use automated reminders for appointments. Patient Portal Access set-up is required, and we prefer patients use it for questions/concerns. Our check-in process is paperless using a system called Phreesia, and we expect clients to be prepared to fill out pre-visit check-in documentation. We utilize CORHIO which is an interface for receiving documentation from ERs/hospitals/labs. We also use CIIS which is Colorado’s statewide immunization registry for continuity of up to date immunization records. You may legally Opt-Out of participation with these databases if desired.

Office Hours

We make every effort to meet the needs of our patients, offering both routine newborn visits, well visits and sick visit appointments during normal business hours. We do not offer walk-in appointments but have same day sick visits available daily. To ensure we provide you with the most efficient care, we highly recommend you call ahead to schedule an appointment. Please familiarize yourself with our office hours to see if they work for your family.

After Hours

We have an NP on call 24/7/365. If a client has an urgent issue that cannot wait until morning, you can call our main number and the Provider on-call will give you advice regarding your child’s problem. You may wish to check the “Is Your Child Sick?” section of our website for helpful information before using this service. You may also utilize the free Children’s Hospital RN line at 720-777-0123 option 1 to get free advice from a live Registered Nurse.

Insurance

It is your responsibility to make sure (and keep making sure) that we participate with your insurance plan. It is your responsibility to know the limits and coverage of your health insurance policy, to show your cards to us at each visit, and be prepared to pay any copays at the time of service. Our billing staff will do their best to assist you with insurance questions; however, if you have questions about your coverage, it is best to check with your specific insurance company. Our office does not want you to be surprised by a bill but must always bill your health plan based on federal guidelines and the actual services provided. Please read our financial policy for more information. We do accept self-pay clients who are uninsured, out of network, or who have health-shares. There are certain policies specific to those who have Health First Colorado Insurance.

Billing and Fees

Insurance copays and balances are expected to be paid at the time of service. If you are unable to comply, you must speak with the billing department prior to the visit to set up a payment plan. All Health Shares and Out-Of-Network Insurances are treated as self-pay clients. Ask our staff for self- pay rates and details.

Scheduling Appointments

For acute care, call the office to speak with triage staff who will elicit your concerns and schedule an appointment for your child if indicated. Sometimes an appointment may not be needed, and staff will advise you regarding your issue or check with the NP and call you back. If our staff is on with another caller or occupied with care of clients, you will be asked to leave a message and receive a return call.

For well visits, call our appointment line or request one via patient portal. Well visits may be scheduled several months in advance.   We encourage you to set up your infant or toddler’s next appointment when you check out from the previous one.

Timeliness & Missed Appointments

Our practice makes every effort to run on time with appointments, as we believe everyone’s time is equally valuable. As a courtesy, we will remind you of your upcoming appointments via phone/text message/email. Please plan to arrive 5-15 minutes prior to your appointment time. We understand sometimes things happen beyond your control that may cause you to be late. However, we WILL RESCHEDULE YOU if you are late (we do not have a tardy “grace period”). We do not tolerate argumentative/accusatory behavior related to this issue; so, if you are chronically tardy, this office IS NOT A GOOD FIT FOR YOU.

Missed Appointments: No-show appointments represent a cost to us, to you, and to other patients who could have been seen in the time set aside for you. We reserve the right to charge for no-show appointments. We request 24-hour notice for cancellation of routine appointments and 4 hours in advance for same day sick visits. Clients and siblings will be dismissed from practice upon the 3rd “no-show” per family. Those who are chronically late or who chronically cancel and reschedule on the same day are at liberty to be dismissed from practice.

Expecting a Newborn

Newborn Registration Process

  1. Find out if we are in-network with your insurance. IPHC cannot do this for you. You must log on or call your insurance company or log-on to their portal and ask if we are in-network. You can search by Provider Mary Enzman Hines or Jennifer Gaughan or by the practice name Integrative Pediatric Health Care, confirm we are at the Poplar St. Address (previously on Girard or Clarkson St if they haven’t updated us) If they cannot find us, have them conference call the office. Regardless of what you are told, you are still responsible if insurance doesn’t pay. If you plan to self-pay ask our staff about rates and implications of cost for vaccines.
  2. Read the “are we a good fit” section of our website by (clicking here).
  3. Read our office policies (click here). By registering, you acknowledge agreement to the policies.
  4. IPHC requires injectable vitamin K to be given to newborns at birth if attending IPHC. This is a routine and important safety measure offered at all births and is standard of care. We do not allow exceptions to this policy, and we do not endorse the administration of oral vitamin K as an alternative.
  5. Make sure the hospital/birth center/midwife knows to send records to us. Please bring any records with you to the first visit in case your records do not arrive in time.
  6. We understand parents of newborns may need to discuss vaccinations prior to being fully comfortable moving forward. Therefore, we will see the newborn for care and discuss vaccinations. If parents are undecided, we will set extra time aside to discuss your plans, but we do require vaccinations to begin no later than 4 months of age. If a parent is seeking an alternative schedule, please note we do not support or endorse this practice. However, a provider will discuss your plans on a case by case basis.
  7. When the baby is born, call us to update the name, date of birth and request your first appointment.
  8. If siblings are to transfer care to us as well, please sign release of medical records forms electronically (i.e. using Adobe fill and sign) or print/fill/scan the form (click here) and return via email to IPHCAdmin@myupdox.com or prepare to upload them in the registration link below. The registration will not be processed until a release of information is received.

When all steps are completed, CLICK HERE for the online registration form.

After registering, you will receive a link to set-up your portal, this is how you will know a chart has been created, if you have questions, call the office.

New Patient from Another Practice

ALL NEW CLIENTS– Please do not register using the link below until the following are complete:

  1. Find out if we are in-network with your insurance. IPHC cannot do this for you. You must log on or call your insurance company or log-on to their portal and ask if we are in-network. You can search by Provider Mary Enzman Hines or Jennifer Gaughan or by the practice name Integrative Pediatric Health Care, confirm we are at the Poplar St. Address (previously on Girard or Clarkson St if they haven’t updated us) If they cannot find us, have them conference call the office. Regardless of what you are told, you are still responsible if insurance doesn’t pay. If you plan to self-pay ask our staff about rates and implications of cost for vaccines.
  2. Read the “are we a good fit” section of our website by (clicking here).
  3. Read our office policies (click here). By registering, you acknowledge agreement to the policies.
  4. Sign release of medical records forms electronically (i.e. using Adobe fill and sign) or print/fill/scan the form (click here) and return via email to IPHCAdmin@myupdox.com or prepare to upload them in the registration link below. Your registration will not be processed until a release of information is received.
  5. Routine childhood vaccinations are required for new clients at IPHC (effective February 2022). We recommend the CDC vaccination schedule. Anyone who needs to catch-up on vaccinations or requests an alternate timeline for vaccines requires a plan and approval by providers before you will be registered. Clients who do not immunize are not a candidate to register at IPHC.
  6. Medical records must be received and reviewed before a visit is scheduled. If you are in a timeline that requires an expedited process, you need to expedite getting records to us and let our staff know about your timeline.

When all steps are completed, CLICK HERE for the online registration form.

After registering, you will receive a link to set-up your portal, this is how you will know a chart has been created, if you have questions, call the office.

Insurance Information

IPHC is contracted with most major insurance companies, this DOES NOT mean we are in-network with your particular plan within that company. Find out if we are in-network with your insurance. IPHC cannot do this for you.

  1. You must log on or call your insurance company or log-on to their portal and ask if we are in-network. You can search by Provider Mary Enzman Hines or Jennifer Gaughan or by the practice name Integrative Pediatric Health Care, confirm we are at the Poplar St. Address (previously on Girard or Clarkson St if they haven’t updated us).
  2. If they cannot find us, have them conference call the office to give additional info.
  3. Regardless of what you are told, you are still responsible if insurance doesn’t pay. If you plan to self-pay ask our staff about rates and implications of cost for vaccines.

We are out of Network with the Following:

  • Denver Health Medicaid
  • Kaiser
  • Certain Networks with United, Cigna, Aetna, and Anthem

We are currently working on contracts with Anthem HMO/Pathway and Friday Health Plans

Please have your card at the time of service; co-pays are expected at time of visit. If we are not in-network, if you are not insured, or your insurance is inactive, payment is due at the time of service. We can coordinate payment plans when needed.

Health Shares are treated as Self Pay and it is the client’s responsibility to self-submit claims.

Some insurances like Freedom Life and US Health Groups are “underinsurance” and may not cover wellness visits, vaccines etc. The client is responsible to know the level of coverage.