In contrast with the experience described by Drs Foels and Terranova, in which a health plan provides nurse call center telephone triage for members at no cost to the physicians, most pediatric practices that use nurse call centers for after-hours telephone care pay a fee for these services. Although children's hospitals that sponsor call centers frequently underwrite a portion of the costs,1 the financial burden, with charges ranging from $5 to $15 per call, can be substantial.
Melzer SM. After-Hours Telephone Triage: Reducing the Financial Burden—Reply. Arch Pediatr Adolesc Med. 2004;158(2):185-186. doi:10.1001/archpedi.158.2.186-b