There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.
- Belleville Surgical Center
- Broad Midwest Anesthesia
- Your surgeon's office - his/her fee for performing your surgery.
- Your pathologist - services for tissue specimens removed during surgery requiring further examination.
- An extended home health care service
Full payment is due within 60 days from your date of service. Please contact your insurance company directly if you experience any delays. 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 Business Office at 618-398-5705 if you encounter a problem with your insurance company and need our assistance.
Belleville Surgical Center'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.
We utilize Transworld as our collection agencies.
BILLING/COLLECTIONS
THE BELLEVILLE SURGICAL CENTER WILL BILL AS FOLLOWS:
MEDICARE
We accept assignment of benefits.
PRIVATE INSURANCE
Your copay amount is due on or before your 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, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company. 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. A down payment equal to 1/3 of the total estimated amount due is expected. You will be asked to complete a financial agreement. The remaining balance will be due within 90 days from your date of service.
SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY
Payment in full must be paid in full on the day of surgery
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NOTICE TO PATIENTS
Belleville Surgical Center shares your concerns about healthcare safety. The staff and healthcare professionals are committed to providing the best care for you and your family. We ask you and your family to join us to make sure that your care meets your needs. We encourage you to let us know when it does not.
You have the right to complain if you have concerns about patient care or safety. Complaints will not hurt your rights as a patient. In fact, it helps us to know how we can improve our healthcare services to you. If you have comments, questions, or concerns during your stay, you may contact the Administrator at 618-398-5705. If you prefer not to call Administration or if your concerns are not resolved at this level, you may call:
Illinois Department of Public Health at
217-782-4977
or write to them at
535 West Jefferson, Springfield, IL 62761
You may also contact:
The Accreditation Association for Ambulatory Health Care, Inc at
847-853-6060