Patient BillingInsurance, payments and other financial responsibility details.
Planning for Surgical Clinic Billing and Payments
At The Surgical Clinic, the staff and your surgeon will work with you to make financial and health insurance matters related to your surgery as stress-free as possible. The world of insurance is complicated and we understand that it is important for you to know exactly what you should expect your particular insurance plan to cover and what parts might fall to you to pay.
You will want to think ahead about some of the paperwork you might need for a return to work with your employer or with your school. It is possible that they may need paperwork ahead of your surgery to excuse and absence or allow you to make up school work.
If your need for surgery is related to an accident claim or injury on the job, we want to take care of paperwork early on. Waiting to file some documents may delay any claims you may be planning to make regarding your injuries. Some patients have insurance policies that are designed to replace any lost wages should you become ill or injured. These applications will require some documentation from your surgeon in order for you to successfully access those benefits.
We understand that the more you are able to plan financially and to obtain any paperwork, authorizations and approvals ahead of your procedure, the more relaxed you will be about the surgical process.
The information presented here is to help in your planning for The Surgical Clinic billing and payments. Your specific insurance plan and your deductibles and co-payments may vary from year to year and will sometimes depend on what type of procedure you are having done. Your insurance card will have a toll-free phone number so that you can contact your insurance company directly to better understand your coverage. The staff of The Surgical Center is also here to help you interpret your insurance policy.
It is important that you check with your insurance company prior to making your appointment with the Surgeon. The Surgical Clinic accepts most insurance coverage, but you will want to make sure that your specific policy is included. A call to your insurance company will provide you peace of mind that your procedure will be covered. The insurance specialists at The Surgical Clinic will file all office and surgical procedures with your insurance company. Make sure that you bring your most recent insurance cards and/or any changes to your plan coverage to EVERY appointment.
You can find a general listing of the insurance companies and Medicare and many HMO and PPO plans that work with The Surgical Clinic by clicking below.
Please note that you are responsible for knowledge of your insurance benefits and are financially responsible for all non-covered services and all OUT OF NETWORK services that are NOT COVERED by your insurance plan.
Surgeons are considered to be ‘specialists’ by most insurance plans. This means that most insurance plans require a referral form from your primary care physician, nurse practitioner or physician assistant before you can have an office visit with a surgeon. Without this prior authorization the surgeon will be unable to see you. You can make sure that your appointment goes smoothly by providing your referring doctor the name and fax number of the Surgeon you are planning to see at The Surgical Clinic. For a list of surgeon addresses and fax numbers click below.
If your insurance requires a copayment, this is due at the time of your appointment. The Surgical Clinic accepts cash, check (payable to The Surgical Clinic, PLLC) Visa, MasterCard, American Express and Discover. Any co-payments, co-insurance or deductible payments are due at the time of service. If payment is not rendered at the time of the visit The Surgical Clinic reserves the right to collect all fees prior to your next scheduled appointment.
Once insurance claims are settled, patients will have 30 days to pay any remaining balances or to make arrangements for payments. Failure to do so provides The Surgical Clinic the right to contact a collection agency for collection of all unpaid balances and all fees accrued for this service will be added to the unpaid balance.
If you have questions regarding your account please call our billing office at 615-292-5722. Many times a simple telephone call can clear up any misunderstandings.
Some elective procedures or patients with self-pay coverage may not be covered by insurance and you will be expected to pay for your care by yourself. Self-Pay patients will be expected to pay the day’s charges on the day of the service. There may be additional charges for tests and other services rendered subsequent to your visit. If you are having a procedure done, you will be expected to make mutually agreeable payment arrangements prior to receiving the service.
Self-Pay patients must talk to one of our Surgical Clinic Billing and Financial Counselors on payment policy and arrangements. If you have questions regarding your account please call our billing office at 615-292-5722.
Workers Comp/Auto Insurance/Legal Claims
If you are seeing a physician due to an automobile accident or other injury related to a legal claim or an injury sustained on the job (worker’s comp) against a third party, you must bring all related documents with you including; claim number, case management claim. We will not file a claim without this information, and you will then be considered a self-pay patient.
Disability, FMLA or Extra Insurance Forms
Please make sure that you bring any forms that you may want your doctor to fill out for things like applying for Disability Insurance, Social Security Disability (SSI/SSDI), Family Medical Leave (FMLA) or other types of Insurance Forms you are going to file (AFLAC or income replacement insurance). There is a charge for EACH Disability, FMLA or Insurance form that you ask the physician to fill out. You will want to fill out YOUR part of each of these forms before you arrive for your appointment.
Workers Comp/Auto Insurance/Legal Claims
If you are seeing a physician due to an automobile accident or other injury related to a legal claim or an injury sustained on the job (worker’s comp) against a third party, you must bring all related documents with you including your claim number and case management claim. We will not file a claim without this information, and you will then be considered a self-pay patient.
Billing and Financial Policy
The Surgical Clinic would like to thank you
for choosing us to provide healthcare to you and your family.
You must provide Proof of Insurance at your visit. Copays, deductibles and co-insurance are your responsibility. Your appointment may be rescheduled if not paid. If we are Out of Network with your insurance, you may be responsible for higher deductibles, copays and coinsurance.
SELF-PAY OR UNINSURED PATIENTS
A $250 deposit toward your office services is required the day of your first appointment at The Surgical Clinic. Your appointment may be rescheduled if not paid. If we are Out of Network with your insurance, you may be considered self-pay.
ESTIMATE FOR SURGERY
A $650.00 deposit will be required prior to your surgery. A Financial Counselor can provide an estimate to you about the cost of your surgery. This is just an estimate and may not be the final cost.
Ask our Surgical Clinic Billing and Financial Counselor for payment options.
Call 615-292-5722, Option 1. We will be glad to help you!
We take Cash, Checks, Money Orders and all Major Credit Cards