BILLING INFORAMTION FOR PRESIDIO SURGERY CENTER
Prior to your scheduled surgery date Presidio Surgery Center will contact your insurance to confirm your eligibility and benefits. If you have any anticipated out of pocket costs (co-pay, co-insurance, deductible etc) we will obtain an ESTIMATE for you based on the procedure scheduled by your surgeon. Please be advised that due to the nature of surgery we can not provide an approximate quote for any services.
If you have anticipated out of pocket costs, our office will contact you for a financial orientation to inform you of the estimated amounts due and arrange for payment.
Please understand that this is only an ESTIMATE based on your surgeons scheduled procedure and there may be additional costs to you based on the actual procedure performed. The additional amount will be reflected on the Explanation of Benefits (EOB) you receive from your insurance company after we submit a claim for the services rendered. If an additional amount is due, you will receive a statement from us.
For all surgeries there are always 3 bills, one from our center for use of the OR and durable medical equipment, one from your doctor for performing the surgery, and one from anesthesia for their services. Only the facility bill will be through Presidio, but we are happy to provide you with the provider contact information should you have any questions
NCAP Anesthesia can be reached with billing questions at:
858-244-1058
In Addition, based on the type of surgery performed, you may receive an additional bill for fluoroscopy and or Pathology. We encourage you to discuss your procedure with your surgeon to determine if these services will be provided.
CPMC handles billing for fluoroscopy and/or Pathology services and can be reached at: (415) 600 – 7100
Please refer to our FAQ for answers to the most common questions, or contact our Business Office Manager for more information at:
415-659-3140(ph) |
Question: Why am I receiving more than one bill for the same surgery?
Answer: There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.
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Anesthesia - fee for anesthesia service
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Your surgeon's office – his/her fee for performing your surgery.
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Your pathologist – services for tissue specimens removed during surgery requiring further examination.
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An extended home health care service.
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Question: What type of credit cards do you accept?
Answer: We accept all major credit cards such as Visa, Mastercard, and CareCredit. You are welcome to visit the CareCredit website at: www.carecredit.com to pre-apply for their services before your date of surgery.
Question: When should I expect my first bill?
Answer: We will bill you any balance due after your insurance company has paid your claim. There may be a delay if your insurance company has paid us incorrectly and we have re-submitted your claim for a corrected payment and allowance determination.
We strongly encourage you to personally contact your insurance company about your upcoming surgery. It is mandatory that YOU, as the insurance subscriber, confirm that all prior authorization information necessary to your specific policy is completed before your surgery date . You may be penalized by your insurance company if you don’t follow your policy guidelines. You must understand what your benefits cover and how this may affect you financially.
We will submit insurance claims for you. We may request that your deductible and copay amounts are paid on or before your date of surgery. You will receive a notice from us regarding the amount to pay. Self pay accounts are asked to pay 59% of the total estimated procedure on or before the date of surgery and to also sign a financial agreement keeping in mind that our balances are due within 60 days.
If you anticipate difficulty in paying your bill within the 60 day period please let us know immediately, you may be eligible for financial assistnace or Charity Care.
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Question: Do you charge interest?
Answer: No
Question: Are we able to set up a payment plan?
Answer: We do ask that all balances are paid in full within 90 days. If you encounter problems paying within the 90 days, please contact our office immediately at 415-346-1218 and ask for our collections department. You may also apply for care credit, www.carecredit.com .
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Question: What is included in my bill?
Answer: We are dedicated to reducing the cost of your medical care. In fact, we do not itemize invoices since most procedures have established charges. You will receive separate invoices from us, your surgeon, and anesthesiologist, or pathologist. Some specialty items may require additional charges.
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Question: What is your credit and payment policy?
Answer: Credit and Payment Policy
Full payment is due within 60 days of your surgery. Elective and cosmetic surgery procedures must be paid in full 5 days before your surgery.
We strongly encourage you to personally contact your insurance company about your upcoming surgery. It is mandatory that YOU, as the insurance subscriber, confirm that all prior authorization information necessary to your specific policy is completed before your surgery date . You may be penalized by your insurance company if you don’t follow your policy guidelines. You must understand what your benefits cover and how this may affect you financially.
We will submit insurance claims for you. We may request that your deductible and copay amounts are paid on or before your date of surgery. You will receive a notice from us regarding the amount to pay. Self pay accounts are asked to pay 59% of the total estimated procedure on or before the date of surgery and to also sign a financial agreement keeping in mind that our balances are due within 60 days.
If you anticipate difficulty in paying your bill within the 60 day period please let us know immediately.
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