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Credit & Payment Policy

There are a number of separate charges associated with your surgical procedure.  You MAY receive charges from several companies.

  1. Capitol Anesthesiology,  Anesthesia Services, 770-968-9978
  2. SME, Inc. USA, Durable Medical Equipment,  910-793-2363
  3. Your surgeon's office - his/her fee for performing your surgery.
  4. Your pathologist - services for tissue specimens removed during surgery requiring further examination.

Full payment is due within 60 days from your date of service.  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. 

Gainesville 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. 
                 


BILLING/COLLECTIONS

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 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. If the total amount is paid in full on the day of your surgery you will receive a discount on the procedure. This discount only applies to the procedure and does not apply to any implants that you might receive. If you are unable to pay the balance in full, 1/2 is expected down and the remaining balance will be due within 90 days from your date of service.  You will be asked to complete a financial agreement

SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY  
Payment in full must be received on the day of surgery. 


NOTICE TO PATIENTS

IMPORTANT CONTACT INFORMATION


Your  primary Surgery center for
filing a complaint/grievance is:
To report any concerns or
complaints to Joint Commission:

Andy Whitener - Adminstrator
770-287-1500

 

The Joint Commission
1-800-994-6610

complaint@jointcommission.org

To contact to State Agency directly: To file a complaint of discrimination:
Office of Regulatory Services
Georgia Department of Human Resources
Phone: (404) 657-5550
Office for Civil Rights
(866) 627-7748
OCRPrivacy@hhs.gov