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Credit & Payment Policy

There are a number of separate charges associated with your surgical procedure.  You MAY receive charges from several companies.
  1. Woodland Anesthesiology Associates  
  2. Your surgeon's office - his/her fee for performing your surgery.
  3. Your pathologist - services for tissue specimens removed during surgery requiring further examination.
  4. Dependent on your individual insurance carrier you may recieve a bill from a third party Durable Medical Equipment and Medical Implant Device company

Full payment is due within 30 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 860-247-5555 if you encounter a problem with your insurance company and need our assistance.

Connecticut Surgery 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 Credit Management Services as our collection agencies.                 

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BILLING/COLLECTIONS

THE CONNECTICUT SURGERY CENTER WILL BILL AS FOLLOWS:

MEDICARE
We accept assignment of benefits.

PRIVATE INSURANCE   
Your deductible, coinsurance, or 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. Payment in full must be received 10 days prior to surgery. You will be asked to complete a financial agreement. If the surgery performed is different than the surgery your physician has proposed, or there is an additional procedure performed, you will receive a statement for the balance due. If a refund is due, you will receive a refund check. If you receive prosthetic implants during your procedure you will be balance billed the cost of the implants used.

 

COSMETIC SURGERY
Payment in full must be received 10 days prior to surgery.  

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NOTICE TO PATIENTS

Connecticut Statutes requires all health facilities which are licensed under the provisions to sections to post a notice of “Patient’s Bill of Rights” in a prominent place in the facility.  This notice is posted in the waiting room.

If you have any complaints which arise out of these rights, the Connecticut Surgery Center maintains a grievance mechanism to resolve them.  If you have a complaint, you may request a written response.  The individual to whom you should address a grievance is:

Kris Gorman, Administrator
Connecticut Surgery Center
81 Gillett Street
Hartford, CT  06105
860-247-5555

If you wish to direct a complaint to the Connecticut Department of Health, the address is:

Department of Public Health
Facilities Licensing and Investigations Section
410 Capitol Avenue MS:12FLIS
Box 340308
Hartford, CT  06134

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