There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies for:
- ANESTHESIA SERVICES
- PATHOLOGY SERVICES
- LABORATORY SERVICES
- Your surgeon’s office – his/her fee for performing your surgery.
- An extended home health care service.
- Third Party implant providers.
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 office at 305-341-7280 if you encounter a problem with your insurance company and need our assistance.
The Surgery Center at Doral’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.
THE SURGERY CENTER AT DORAL WILL BILL AS FOLLOWS:
We accept assignment of benefits. If you do not have a secondary insurance you will be responsible for your deductible and your 20% co-insurance.
Your copay, co-insurance or deductible amount is due on 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, or you have a balance after receipt of payment or denial from your insurance company, a bill will be sent to you.
You will be contacted prior to your surgery with an estimated procedure cost for your surgery. You will be expected to pay your estimated financial responsibility on the day of surgery.
NOTICE TO PATIENTS
You may contact the following entities to express any concerns, complaints or grievances you may have.
HECTOR R. SANTANA-HERRERA, RN, ADMINISTRATOR
OFFICE OF THE MEDICARE BENEFICIARY OMBUDSMAN:
ATTN: LUCY GEE, DIVISION DIRECTOR
FLORIDA DEPARTMENT OF HEALTH
DIVISION OF MEDICAL QUALITY ASSURANCE
CONSUMER SERVICES UNIT
4052 BALD CYPRESS WAY, BIN C75
TALLAHASSEE, FL 32399