Insurance Claims

Your medical insurance policy is a contract between you and your insurance carrier.
Surgery Center of Southern Oregon, LLC is not a party to that contract. Your coverage
and responsibilities are determined by your policy and you are responsible for understanding
and following their required procedures. As a courtesy to our patients the Surgery Center
of Southern Oregon, LLC will bill your insurance for direct payment from your carrier when
you provide us with the correct billing information. Please check with your insurance
company to determine if our facility, your surgeon and anesthesiologist are considered
preferred providers of your plan. Ultimately the patient is responsible for charges incurred
on the date of service.

Prior Authorization and Pre-Certification

If your medical insurance plan requires you to have a prior authorization or pre-certification
on file for a procedure, this should be obtained before your scheduled appointment. We make every
attempt to follow-up with your physician’s office to see that the necessary authorizations are
obtained prior to the date of service; however, in most cases the authorization must be obtained
by the performing physician’s office.

Estimate of Charges And Payment Arrangements

We require a deposit on the date of service. The deposit amount is based on the estimate of
charges and/or information given to us by your physician’s office and your insurance company.

If you do not have insurance, or choose not to use your benefits, we require payment of 100%
of the estimated charges on the day of the procedure unless specified otherwise in writing. All
payment arrangements must be made with a Patient Liaison prior to the date of service.

Payments

If there is a balance remaining on your account after your insurance responds, you will receive a
statement in the mail. We accept cash, personal check, VISA, Master Card, Discover, American
Express and Care Credit.

Contact Our Billing Department

Please do not hesitate to contact our billing department if you have any questions or concerns
regarding your account. Our office hours are Monday — Friday 7:00 a.m. to 5:00 p.m.

 
Accreditation Association for Ambulatory Health Care, Inc.
Accredited by
Accreditation Association for Ambulatory Health Care, Inc.