Payment at Time of Service
We require a copy of your current insurance card at the time of your visit. If you are unable to present your card before seeing the doctor, the visit may be considered fee for services, and full payment may be collected. If your insurance requires a co-payment, deductible, or co-insurance, it will be collected at the time of your visit. If you are an established patient, please verify all insurance information and notify us of any changes.
Verification of Benefits
As a rule we try to verify all benefits prior to your appointment, but in some cases this is not possible. It is ultimately your responsibility to make sure you have insurance, we are an approved provider, you know what your benefits are, and you have supplied us with valid insurance information. When required, it is the responsibility of the patient to obtain all needed insurance referrals. In the event your insurance claim is denied, you will be responsible for the services rendered.
Understanding Your Bill
It is our goal to make sure all patients understand how they will be billed before they receive their first statement. We understand that it can be quite confusing and we will work to help you understand all elements of the billing process.
You may receive up to 4 (four) separate fees for different services. Below is a list of the potential groups or doctors that may bill you. All bills will be sent to your insurance carrier first. Any balances that the insurance does not pay will be your responsibility. If you are not sure what your insurance will cover please contact your insurance carrier for more information on your covered benefits.
Endoscopy Center - This includes the facility fee that the Endoscopy center charges. This covers the cost for the staff, equipment, and supplies that are used during your procedure.
Physician Services - This is the bill for the physician’s time to conduct the procedure and it is billed from the Physician’s office.
Pathology or Laboratory - These fees will be billed for anything that is sent to a laboratory for testing. This may include tissue samples, blood tests, or cultures. This fee includes two parts the handling of the sample and the reading by a pathologist.
Anesthesia Services - Occasionally the services of anesthesiologist are required. You will be told if anesthesia is to be used ahead of time. The anesthesiologist will bill you for the medications administered and the physician’s time.