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PAYMENT POLICY
The following information will assist you in understanding the Payment and Billing Policy of Gastroenterology Consultants. This information has been subdivided into categories for your easy reference.
Registration
New patients will be contacted prior to their first visit. The patient should provide all information requested at that time, such as name, address, Social Security number of patient and spouse, employer of patient and spouse, insurance coverage and pre-certification requirement. Returning patients will also be contacted to verify current insurance information. Please make us aware of any changes in your insurance prior to your next office visit.
Fees
Our office will file your insurance for you. Patients who reside out of state are required to bring a deposit at the time of service since insurance benefits vary with regard to coverage, deductible, and co-pay. Any credit balances will be refunded to you in a timely manner.
Special arrangements for payments can be made (a) to establish a payment plan for extensive treatment or (b) for balances remaining after your insurance has made payment.
We will assist you in obtaining maximum coverage from your insurance; however, you must notify us if your insurance has any restrictions on where you can have services provided.
Please contact our Billing
Office at (414) 908-6615.
Usual and Customary
All insurance companies and employers use various benefit schedules to determine "Usual and Customary" fees. You are responsible for payment of charges higher than their "U & C."
Medicare
The physicians of Gastroenterology Consultants, Inc. participate in the Medicare program, and we accept assignment on all claims. You are responsible for the 20% of the bill which Medicare does not pay. We will file your claim to Medicare and follow up with secondary insurance when applicable. You will not be asked to pay for services the day of your appointment.
Medicaid - Title XIX
A valid card must be presented at the time of each visit and all co-payments must be paid at each visit. Failure to comply will result in a re-scheduled appointment. Exceptions will be made only in an emergency.
OFFICE VISIT SUMMARY
General Assistance
A valid voucher must be presented at the time of each office visit.
HMO's
An HMO referral must be presented at the time of each visit to the physician's office. It is the patient's responsibility to make sure the physician has received it.
Patients Not Covered By Insurance
You will be asked to speak
to someone in our Billing
Office to make arrangements for payment prior to seeing a physician.
Hospitalization
A patient who is hospitalized will be contacted by telephone at a later date to make arrangements for payment.
Credit Cards
For your convenience, the office accepts Visa and MasterCard. Call us
for information about your
account on the Billing Office Hot Line:
(414) 908-6615.
INSURANCE
You are encouraged to be familiar with your insurance policy, including specific stipulations and subsequent changes which may occur in your coverage. When our office has complete insurance information, we can help you obtain maximum coverage. However, our office does not have a contract with your insurance company. The contract is between you and the company, and the responsibility for payment of balance that has not been paid by your insurance company is yours.
Payments you may receive from your insurance company are intended to reimburse you for your medical expenses. If the insurance payment is mailed to you rather than to our office, you may sign the payment over to us by writing "Pay to the order of G.I.
Associates" followed by your signature on the back of the check.
CREDIT POLICY
Patients not covered by
Medicare are asked to pay
for services provided at the
time of each office visit.
This payment practice
significantly reduces costs
and enables our physicians
to avoid increasing fees.
See the "Payment Policy" for detailed information regarding payment and credit.
FINANCIAL COUNSELOR
Our office makes the
services of a financial
counselor available to you
at all times.
She is specifically trained to answer insurance or billing questions which may arise and she can help you to receive the maximum insurance reimbursements available to you.
Please do not hesitate to
call the Billing Office Hot
Line referred to in the
"Payment Policy" section for details.
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