Policy Statement
It is the policy of Orthopaedic Institute Surgery Center to collect patient balances within 60 days of sending the first statement.
Procedure
- Patient Billing
- It is the goal of Orthopaedic Institute Surgery Center to bill insurance claims appropriately and timely. Orthopaedic Institute Surgery Center will send statements and/or provide notifications to patients/responsible parties for any outstanding balances.
- All patients/responsible parties may contact Orthopaedic Institute Surgery Center regarding payment requirements.
- Patients with no active insurance coverage are required to pay for their procedure in full on the day of service. Patients will be refunded or billed the difference if the procedure changes from what has been estimated.
- Payer Discrepancy
- If a claim is denied by a payer due to an error made by Orthopaedic Institute Surgery Center, the patient/responsible party will not be billed until the charge has been resolved with the payor.
- If a claim is denied by a payer due to factors outside of Orthopaedic Institute Surgery Center’s control, Orthopaedic Institute Surgery Center will follow up with the payer and patient/responsible party as appropriate to facilitate resolution of the claim.
- Patient Collections
- At least 3 statements for collection of account balances are mailed to patients to the current address on file. It is the patient/responsible party’s obligation to provide a correct mailing address at the time of service or upon moving.
- If accounts are not resolved, qualifying outstanding balances may be referred to a collection agency.
- Customer Service
- During the billing and collection process, patients may contact Orthopaedic Institute Surgery Center with any questions or concerns about their bill. Orthopaedic Institute Surgery Center will return phone calls to patients as promptly as possible.