Frequently Asked Questions


Please contact our Business Office regarding specific questions about your account.

Who is responsible for authorizing my insurance?

A Southwest Surgical Center billing representative will contact your insurance company to verify your eligibility and benefits. Precertification and prior authorization requirements for the scheduled procedure are checked and secondary payers are verified when applicable.

 

How will I know what the patient balance is?

At the time of insurance verification, the anticipated patient out-of-pocket amount is calculated based on the scheduled procedure, the insurance plan and deductible, and coinsurance amounts. Final patient responsibility is determined at the time of insurance claim processing. You will be contacted with the anticipated out-of-pocket amount by the Southwest Surgical Center billing representative in writing or by phone approximately one week prior to surgery. This is the amount due when you register on the day of your procedure.

 

What information is needed at registration?

You will need to bring your driver’s license or another valid picture ID, all medical insurance ID cards, and payment for the anticipated patient balance. A copy of your ID and insurance cards will be taken at that time.

 

Will you bill everything to my insurance?

We will file a claim to your insurance payer for processing. If there is a balance remaining, a claim will be filed to secondary and tertiary payers if there is coverage.

 

How is the facility fee determined?

Ambulatory Surgical Facility fees are based on the procedure(s) performed by the surgeon. The facility is reimbursed one set amount, plus in some cases, charge(s) for implants that remain in the body. The room, supplies, medication, pre-op and post-operative care is not separately itemized on your bill.

What payment options does Southwest Surgical Center offer?

Southwest Surgical Center accepts cash, check, or credit card (Visa, Master Card, Discover, and American Express) for payment.  Contact aSouthwest Surgical Center billing representative for additional information.

 

If Southwest Surgical Center participates with my insurance, do you accept their check as full payment?

Participation with a payer requires us to accept what that insurance allows for a procedure. The difference between our usual charge and the insurance allowed amount is adjusted. Patients may still have out-of-pocket expenses to pay due to deductible, copay, and/or coinsurances according to their plan.