Billing & Insurance

Payment Policy

• The patient or guarantor is responsible to provide accurate demographic information, proof of insurance and a photo ID at the time of service.
• If a Coordination of Benefits is required by the insurance plan, the patient agrees to act on this request promptly.We do accept Visa, MasterCard, Discover, cash and checks as forms of payment.
• Payments are applied to the oldest date of service first when received from the patient.
• Insurance payments are posted to the specific service datepayment is rendered for.
• If we receive a returned item for non-sufficient funds or account closure, a minimum of a $25.00 service fee will be charged to your account.
• A $50.00 No-show fee will be charged to your account for appointments that are not cancelled within 24 hours.
• If an account is placed with an external collection agency, any fees incurred as a result of this will be added to your outstanding balance with the collection agency.

Self-Pay Patients

• Self-pay patients are expected to pay in full at the time of service. Our office staff will calculate the charge to the best of our ability but charges can change based medical decision making, the amount of time the provider spends with you, medical coding review and guidelines. If there is a remaining balance, you will receive a statement. If by chance you have a credit, we will refund promptly unless there are future visits or procedures scheduled. In that case, we will hold the credit to apply towards that balance.
• If an elective surgical procedure needs to be scheduled, we will require the estimated charges payment to be made prior to scheduling. • Self-pay patients will be provided an estimate for services.

Insurance

• As a courtesy to our patients we bill all insurance plans. Please note that share plans such as Medi-share are not considered an insurance plan. In providing your insurance plan information to us, you are authorizing Mountain West Surgical Specialists to use and disclose any and all medical information to any facility, insurance company or entity pursuant to the coordination of care and payment and are assigning all insurance payments to us.
• We do participate with most large insurance companies but it is your responsibility to check your benefits and ensure we are within your network. As many plans can vary, there are some things your plan may deem non-covered. If your plan deems a service to be non-covered, you will be responsible for the charges.
• All copays, co-insurance and deductibles are expected to be paid at the time of service unless other arrangements have been made.
• Payment is due upon receipt of your statement. We will mail out three monthly statements and a final notice. If the account has not been paid in full after 30 days from the date of the final notice, your account may be sent to an external collection agency.
• Estimates are provided as requested.