There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.
- Pathology – Quest Diagnostics
- Pathology – Magnolia Pathology (GGB Medical Managment) – 1-818-718-9500
- Pathology – GI – Pathology 1-888-244-7284
- Your surgeon's office – his/her fee for performing your surgery.
- Your pathologist – services for tissue specimens removed during surgery requiring further examination – see above.
- Your anesthesiologist – his /her fee for provding anesthesia services during your procedure.
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. Please call our Business Office at 951-688-7270 if you encounter a problem with your insurance company and need our assistance.
Glenwood 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 Transworld 1-720-962-4462 and Merchants 1-888-249-3811 as our collection agencies.
BILLING/COLLECTIONS
THE GLENWOOD SURGERY CENTER WILL BILL AS FOLLOWS:
Information is obtained regarding your insurance plan prior to your arrival at our facility. After your procdure has been completed, our business office staff will bill your insurance. The information we obtain for insurance billing prior to your procedure needs to be accurate to prevent a delay in billing processes. Please review billing information with our business office staff upon your arrival to verify accuracy.
MEDICARE
We accept assignment of benefits.
Palmetto
We will submit a bill to Medicare (Palmetto) after your procedure is performed. 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.
PRIVATE INSURANCE
Your copay amount is due on 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. A down payment equal to 60% of the total estimated amount due is expected. You will be asked to complete a financial agreement. The remaining balance will be due within 90 days from your date of service.
SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY
Payment in full must be received on the day of surgery.
NOTICE TO PATIENTS
All customers are encouraged to report any and all concerns or complaints/grievances to any Surgical Care Affiliates employee for resolution, as each employee is empowered to resolve issues and complaint/grievances within his/her authority or professional expertise.
A customer may file a concern or complaint/grievance for any reason. The process to do that is as follows:
- Notify any Surgical Care Affiliates staff member that you have a concern or complaint/grievance.
- All efforts will be made to resolve concerns or complaints/grievances on the same day notified.
- Concerns or complaints/grievances that cannot be immediately resolved to the customer's satisfaction will result in the review and investigation of the complaint/grievance within a reasonable time frame initiated by the facility administrator.
- The facility administrator or designee will provide the customer with a verbal progress report within 3 business days of receipt of the. complaint/grievance and maintain ongoin communication until the point of resolution, not to exceed 30 days.
- Once the investigation is completed, the Administrator will communicate in writing to the customer or legal representative, when necessary, the findings and determination regarding the complaint/grievance in understandable terms, including written notice of its decision, name of facility’s contact person, steps taken on behalf of the customer to investigate the complaint/grievance, the results of the complaint/grievance process and date of completion,
and information on how to contact the State Agency for any issues the customer feels is unresolved.
- Customers may contact the State Agency directly regardless of whether he/she has first initiated the facility’s complaint/grievance process.
IMPORTANT CONTACT INFORMATION
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Your primary Surgery center contact for filing a complaint/grievance is:
M. Joyce Hall, RN Administrator
951-688-7270
joyce.hall@scasurgery.com
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To report any concerns or complaints to Joint Commission:
The Joint Commission
1-800 994-6610
complaint@jointcommission.org |
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To contact the State Agency directly:
California Department of Public Health
909-388-7170
Bureau of Licensure and Certification
Riverside District Office
www.cdph.ca.gov |
To file a complaint of discrimination:
Office for Civil Rights
866-627-7748
www.OCRPrivacy@hhs.gov |