Insurance and Financial Responsibility...


FINANCIAL POLICY:

To reduce any misunderstanding or confusion, our center has adopted the following financial policy. If there are questions regarding this policy, please discuss your concerns with our billing department. We are dedicated in providing the best possible service to our patients and understanding your responsibilty is an essential element throughout your care and treatment.
 
BILLING:
We participate with Medicare, Medicaid and a variety of commercial insurers. If your insurance company requires a referral, you must bring it with you at the time of service or contact your primary care physician to verify it has been sent electronically. Some insurance carriers require prior authorization to establish medical necessity. Failure to obtain this authorization (ie. precertification) may result in no coverage. Some policies may also have restrictions for routine screenings such as Colonoscopy. Please check with your insurance carrier to determine coverage.
 
Unless you have Medicare, insurance Co-pays have gained popularity and have increased in amount over the past year. We have responded to this and offer many payment options that may lessen this burden as much as possible. We are diligent in modifying these arrangements to fit your needs but must adhere to restrictions that have been established with our insurance aggreements and contracts. Adherence to these payment arrangements is your responsibility and we take this seriously. We accept all major credit and debit cards, cash and personal checks as a form of payment.
If you have any questions or concerns regarding our billing policy or to make payment arrangements, please contact our Billing Coordinator at 267-263-2160.
INSURANCE:
We are in network with most insurance providers. Please contact your individual insurance company to verify coverage and benefits regarding your care.
Our billing department is willing to provide you with any information needed to determine levels of coverage and eligibility.
Deductibles and Co-Insurances:
Office procedures i.e. Hemorrhoidal therapy and Flexible Sigmoidoscopy, are subject to deductibles and co-insurance as determined by your insurance company. Medicare has an annual deductible that must be met prior to payment for services.
The Center for GI Health participates with most insurance carriers. 
 
SELF-PAY:
 
If you do not have insurance, please contact our billing department to discuss payment arrangements. Again, we are diligent in modifying these arrangements to fit your needs but must adhere to restrictions that have been established with our insurance aggreements and contracts. Adherence to these payment arrangements is your responsibility and we take this seriously. We accept all major credit and debit cards, cash and personal checks as a form of payment.
 
Billing Department information: Click Here (Link Compello)
 
ANESTHESIA:
 
Any time anesthesia is provided, our anesthesia providers will bill your insurance company directly. These providers participate with many of the same insurance groups as The Endoscopy Center.
 
PATHOLOGY LABORATORY:
 
In the event that a biopsy has to be obtained, we send this specimen to an outside, contracted laboratory for analysis. This laboratory participates with many of the same insurance groups as The Endoscopy Center.
 
CANCELLATION POLICY:
 
We require a 24 hour cancellation prior to your office visit or procedure. Please understand the impact that your cancellation may have on our operations. Cancellations without sufficient notification or explaination will result in a cancellation charge of $50.00.
 
 
SCREENING COLONOSCOPY INSURANCE COVERAGE:
 
A screening colonoscopy is performed for patients who have NO signs or symptoms of GI problems and have a pre-determined benefit from their insurance company. PLEASE UNDERSTAND that if the physician performing your procedure finds a polyp or abnormaility, your benefit may change. Please contact your insurance company for more information.
 
****Please note that you will be billed from CGI physicians, The Endoscopy Center, Anesthesia Advantage, and Caris Laboratories.****
 
Our billing personell are glad to asisst you with any of your billing concerns. Please contact us at 267-263-2160
 
 
http://www.compellogroup.com