There are a number of separate charges associated with a surgical procedure, so you may receive bills from several other treatment providers. The list below shows some of the possible providers who may send you a separate bill:
1. The La Veta Surgical Center
2. Your anesthesiologist
3. Your surgeon's office – his/her fee for performing your surgery.
4. Your pathologist – services for tissue specimens removed during surgery requiring further examination.
5. A radiologist - for evaluation of any x-rays taken
You are responsible for guaranteeing payment on your account and for knowing your individual policy restrictions and benefits.
Your insurance carrier, including Worker's Compensation, auto (no fault) and personal injury, is legally responsible to you. Our relationship is with you as our patient, not your insurance company. Consequently, all charges incurred are ultimately your financial responsibility. The obligation to ensure payment in a timely manner ultimately lies with you, regardless of what your insurance company chooses to do. You should expect to receive an Estimation of Benefits (EOB) from your insurance company within 30 days of your date of service. If you experience a delay, it is expected that you will contact your insurance carrier to check the status of your claim and expedite payment. Please call our Business Office at 714-744-0900 if you encounter a problem with your insurance company and need our assistance.
MEDICARE
We accept assignment of Medicare benefits.
PRIVATE INSURANCE
Your copayment and deductible amounts will be due prior to your surgery or procedure date. We will submit your bill directly to your private insurance carrier. 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 upon receipt of payment or denial from your insurance company. We must make a copy of each insurance card at the time of registration.
CLAIMS SUBMISSIONS
We will submit your bill directly to your insurer. A bill will be sent to your secondary insurance carrier upon receipt of payment or denial from the primary payer. If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurer. 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. Payment for the total estimated amount due is expected prior to your surgery. If you are unable to pay the total amount due you will be asked to sign a promissory note. The remaining balance will be due in a limited number of installments and must be paid in full within 90 days of your date of service.
SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY
Payment in full must be received 10 days prior to surgery.
NOTICE TO PATIENTS
Patient Rights and Responsibilities English
Patient Rights and Responsibilities Spanish
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