Payment, Billing & Assistance Policies

BILLING AND COLLECTION POLICY
If you provided us with insurance information, your insurance company will be billed as a service to you. Insurance is designed to reimburse the policyholder and is a contract between the policyholder and the insurance company. We will submit benefit claims to your insurance company if all required information and authorization is provided. You are responsible for deductibles, co-insurance, and any items not paid by insurance. You should contact your insurance company to determine your cost-sharing responsibilities, if any.

A claim will be submitted to your insurance based on information you provided during the registration process. This could be as soon as 1 day after your discharge or release from our Surgery Center. You may request a copy of your bill by contacting 407-206-2375. Generally, we allow 30 days for insurance to pay their portion. In the event that your insurance company is slow to pay or for some reason disallows the claim, payment of the full account balance is expected from you. You can avoid future billing notices by calling your insurance company to expedite payment. Our collection process will include additional billing notices every 28 days, until the account balance is resolved or placed with a collection agency.

It is important for the Surgery Center and the patient to work together to solve payment issues. If you have any questions please feel free to call our Business Office at the phone number listed above.

PHYSICIAN BILLING INFORMATION
During the care you received at our facility you may have received services from physicians or other medical providers, such as Anesthesiologists, CRNA’s, etc. You will receive separate bills from these physicians or medical providers. Should you have any questions concerning their bill, please contact us directly.

PAYMENT POLICY
Payment in full is required at the time of service from all patients who owe co-pays, coinsurance, have not met their deductible, or do not have insurance coverage. Balances after insurance payment are due upon receipt. You may pay on-line with debit/credit card or electronic check by visiting our website listed on the front of this notice. You may contact the Business Office if you are unable to pay your balance in full. Staff is available to answer any questions as well as discuss our financial assistance program and payment options (CareCredit). Our patient liaison can be reached at 407-206-2375.

Estimates for upcoming scheduled or future elective services can be provided upon request by the Surgery Center Business Office.

FINANCIAL ASSISTANCE SUMMARY
Our Surgery Center is committed to meeting the healthcare needs of the community we serve.

Our Financial Assistance Policy and Uninsured Discount Policy are available for review online by visiting our website listed on the front of this notice. To apply for Financial Assistance, you may download, print and complete the application from CareCredit (www.CareCredit.com). Mail or bring the application, along with the required documents to the Surgery Center. You will be notified of our decision within 30 days of receipt of the required information. Please be aware we will use your application to identify other available health insurance options you might be eligible for, such as: Medicaid coverage, disability coverage, victims of crime, COBRA, etc… Financial assistance will not be provided to those eligible for any program coverage.