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The Surgical Clinic

Insurance, Payments & Financial Details

INSURANCE & BILLING

What to Know About The Surgical Clinic

Billing & Payments

If your insurance requires a co-payment, co-insurance, or deductible payment, this is due at the time of your appointment

Once insurance claims are settled, patients have 30 days to pay any remaining balance 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. Often connecting through a phone call can help clear up any misunderstanding, if you have any questions regarding your account please call our billing office at 615.292.5722.

Additional Insurance Details

Out of Network Information

You are responsible for knowledge of your insurance benefits, and are also financially responsible for all non-covered services as well as all out of network services not covered by your insurance plan. Surgeons are considered to be “specialists” by most insurance plans:

You can make sure your appointment goes smoothly by providing your referring doctor the name and fax number of the surgeon you a planning to see at TSC.

Providing Your Payment

Additional Financial Details

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.

We will be glad to help you! Please ask our Surgical Clinic Billing and Financial Counselor for payment options.

At your visit, you must provide Proof of Insurance and are responsible for any co-pays, deductibles, or co-insurance. Your appointment may be rescheduled if not paid.

Workers Comp, Auto Insurance, or Legal Claims

If you are seeing a provider due to an automobile accident, other injury related to a legal claim, or an injury sustained on the job against a third party, you must bring all related documents with you including the following:

We will not file a claim without this information, and you will then be considered a self-pay patient.

Disability, SSI/SSDI, Family Medical Leave, Extra Insurance Forms

Please bring any forms that you want your doctor to fill out for things like:

Please note there is a charge for each form that you ask a provider to fill out. You will want to fill out your part of each form before arriving for your appointment.

On behalf of The Surgical Clinic, thank you for choosing us to provide healthcare to you and your family. If you have any questions, please give us a call as we will be glad to help you!

Plans We Accept

Accepted Insurance Forms

Patient Billing and Payments

ready to pay your bill?

Learn more about our accepted insurance plans or access our online payment portal.