Billing
INSURANCE BILLING: We will submit claims to all primary and secondary insurance carriers, including commercial carriers. The patient MUST present their valid insurance card upon arrival for their appointment. If a patient does not have their insurance card with them at the time of their appointment, they will be listed as a Self-Pay patient until such time they present us with their current insurance card. INSURANCE BENEFITS: It is the responsibility of the patient to know their benefits for their scheduled procedure. It is also the patient's responsibility to know which hospital/facility in in-network for your specific insurance plan. Our office will check for prior-authorization and obtain it, if needed. To help you obtain the most accurate benefit information from your insurance company, we have included the procedure codes we use to bill: - Colonoscopy: 45378
- If you are having this procedure for screening purposes, it is a good idea to ask for both the screening and diagnostic benefits. A colonoscopy procedure can change to diagnostic if anything is found during the procedure.
- Upper Endoscopy (EGD): 43235
PAYMENT FOR MEDICAL SERVICES: Copayment, coinsurance and any previous balances are due at check in. Patients who anticipate difficulty in paying for medical services are encouraged to contact our billing department prior to the provision of medical services. TYPES OF PAYMENT: We accept cash, personal checks, Visa, MasterCard, or Discover for any copayment, coinsurance or balance due amount. Payment is expected at the time of check in. We will bill any deductible amounts that may be due and payable by you. SELF-PAY PATIENTS: A $150 copay is required at the time of your appointment. If a patient requests and requires a payment plan, arrangements will be made prior to the time of service and finalized at the time of check in. Payment is expected in full at the time of service. Self pay patients and patients who have deductibles of $500 or more which have not been met will be required to make a deposit prior to the procedure. The amount is $500 or the amount of the deductible which has not been met yet, whichever is less.
|