There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.
- Your surgeon's office: his/her fee for performing your surgery
- Your pathologist: services for tissue specimens removed during surgery requiring further examination
- Anesthesiologist: his/her fee for services are separate from the Surgery Center.
- An extended home health care service
Full payment is due within 60 days from your date of service, unless PRIOR arrangements are made. Please contact your insurance company directly if you experience any delays. YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.
Your insurance company, including Worker's Compensation, auto (no fault) and personal injury, is legally responsible to you. Our relationship is with you, our patient, not your insurance company. Consequently, all charges incurred are your responsibility. The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do. You should normally receive a response from your insurance company within 30 days of your date of service. If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment. Please call our Business Office at 858-560-4567 if you encounter a problem with your insurance company and need our assistance.
You are required to respond in writing to any inquiries from the insurance company regarding your surgery. We suggest you keep copies of all correspondence from and to your insurance company. If you would like assistance in completing these forms / inquiries, feel free to contact us. It is also suggested that you forward a copy of these to our center to expedite processing of your claim.
Oasis Surgery Center's policy is to turn over to an attorney or collection agency all accounts which are delinquent. You will be responsible for any collection fees that are incurred. We utilize different vendors and attorneys as our collection agencies.
Return to Top
BILLING/COLLECTIONS
THE OASIS SURGERY CENTER WILL BILL AS FOLLOWS:
MEDICARE
We accept assignment of benefits.
PRIVATE INSURANCE
Your copay amount is due on or before your date of service. We will submit your bill directly to your private insurance company. A bill will be sent to your secondary insurance (if one is listed) upon receipt of payment or denial from your primary insurance. If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company. We must make a copy of each insurance card at the time of registration.
SELF PAY
You will be contacted prior to your surgery with an estimated procedure cost for your surgery. The total estimated amount due is expected on the date of service. We accept Cash, Credit Cards and Cashiers Checks; NO PERSONAL CHECKS are accepted for amounts over $1000. You will be asked to complete a financial agreement. Any unforeseen, remaining balance will be due within 30 days from your date of service.
SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY
Payment in full must be received prior to surgery.
Return to Top
NOTICE TO PATIENTS
You may contact the following entities to express any concerns, complaints or grievances you may have:
| CENTER |
|
LINDA PIPES, ADMINISTRATOR
(858) 560-4567 |
STATE
AGENCY |
|
ATTN: KATHLEEN J. BILLINGSLEY, RN
DEPUTY DIRECTOR
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CENTER FOR HEALHT CARE QUALITY (CHCQ)
LICENSING AND CERTIFICATION DIVISION
P.O. BOX 997377 MS 3000
SACRAMENTO, CA 95899
COMPLAINTS (800) 236-9747
GENERAL INFORMATION (916) 558-1784 |
| MEDICARE |
|
OFFICE OF THE MEDICARE BENEFICIARY OMBUDSMAN:
www.cms.hhs.gov/center/ombudsman.asp |
Return to Top